CMG Brentwood, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

65A114 Issued in NJ

Legal business name

CMG BRENTWOOD, LLC

Doing business as

Chelsea at Toms River

Practice address

1657 Silverton Rd
Toms River, NJ 08753-1400

Phone

(732) 941-8100

Fax

(732) 941-8124

NPI assigned

Jul 2, 2009

Last updated

Jul 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gloria Petro, CALA

Title

Executive Director

Phone

(732) 941-8100

Specialties & licenses 1

Addresses

Other names 1

• Chelsea at Toms River Doing business as

Locations

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1316176076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 SILVERTON RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087531400",
            "telephone_number": "732-941-8100",
            "fax_number": "732-941-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 SILVERTON RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087531400",
            "telephone_number": "732-941-8100",
            "fax_number": "732-941-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMG BRENTWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "PETRO",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-941-8100",
        "authorized_official_credential": "CALA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "65A114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chelsea at Toms River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Toms River, NJ
• Providers in Toms River, 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 Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.