Organization Active NPI

Montville Senior Care, LLC

  • Assisted Living Facility
  • Montville, NJ
National Provider Identifier
1356621429
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
031446 Issued in NJ
Legal business name
MONTVILLE SENIOR CARE, LLC
Doing business as
The Chelsea at Montville
Practice address
165 Changebridge Rd
Montville, NJ 07045-9563
Phone
(973) 402-1100
Fax
(973) 402-4132
NPI assigned
Aug 22, 2011
Organization subpart
Yes
Parent organization
CMG CHELSEA SENIOR CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Mr. Roger Bernier
Title
Coo
Phone
(908) 889-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 031446 NJ Primary

Addresses

Primary practice location

165 Changebridge Rd
Montville, NJ 07045-9563

Mailing address

165 Changebridge Rd
Montville, NJ 07045-9563
Phone (973) 402-1100

Other names 1

  • The Chelsea at Montville Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2194565Montville Senior Care165 Changebridge Road, Montville, NJ 07045Certificate of waiverSep 30, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1356621429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CHANGEBRIDGE RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459563",
            "telephone_number": "973-402-1100",
            "fax_number": "973-402-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CHANGEBRIDGE RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459563",
            "telephone_number": "973-402-1100",
            "fax_number": "973-402-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTVILLE SENIOR CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CMG CHELSEA SENIOR CARE, LLC",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "BERNIER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "908-889-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "031446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Chelsea at Montville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.