Active NPI
Montville Senior Care, LLC
- Assisted Living Facility
- Montville, NJ
National Provider Identifier
1356621429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 031446
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2194565 | Montville Senior Care | Certificate of waiver | Sep 30, 2026 |
National Provider Directory
National Provider DirectoryNPI 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
- Montville Oral Surgery Associates, L.L.C.
- Montville Orthodontic Associates
- Montville Park Physician Associates
- Montville Pharmacy NJ Corp
- Montville Physical Therapy, PC
- Montville Township Board of Education
- Mountain Falls Dermatology
- Lauren Muriello, MA, LPC
- Felice Nathans
- Donald Scott Navarro, D.D.S.
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.