SHP VI LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SHP VI LLC

Doing business as

Arbor Terrace Mountainside

Practice address

1050 Springfield Ave
Mountainside, NJ 07092-2905

Phone

(908) 760-0599

Fax

(908) 264-7780

NPI assigned

Oct 20, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel McKeever

Title

Vice President- Senior Housing

Phone

(973) 683-1670

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Arbor Terrace Mountainside Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1265031314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SPRINGFIELD AVE",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922905",
            "telephone_number": "908-760-0599",
            "fax_number": "908-264-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SPRINGFIELD AVE",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922905",
            "telephone_number": "908-760-0599",
            "fax_number": "908-264-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHP VI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "MCKEEVER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VICE PRESIDENT- SENIOR HOUSING",
        "authorized_official_telephone_number": "973-683-1670"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0735914",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Terrace Mountainside",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arbor Terrace Mountainside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Schomp I
• Erin Quinn Schweikert, OTR/L
• Judith E. Sedlak, PT
• Josephine Servello, LPC
• Dina Shah
• SHP VI Mountainside LLC
• James Siegal, D.M.D.
• Jeanine Marie Sierchio, OTR/L
• Richard Joseph Sierzega, ATC
• Marissa Naudia Singh

• Assisted Living Facility in Mountainside, NJ
• Providers in Mountainside, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.