Organization Active NPI

Monarch Bella Terra Tenant LLC

Doing business as Bella Terra by Monarch

  • Assisted Living Facility
  • Jackson, NJ
National Provider Identifier
1366114845
Registry record updated Oct 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MONARCH BELLA TERRA TENANT LLC
Doing business as
Bella Terra by Monarch
Practice address
2 Kathleen Dr
Jackson, NJ 08527-2269
Phone
(732) 730-9500
NPI assigned
Oct 2, 2021
Last updated
Oct 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2021

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

Authorized official

Name
Andrew Michael Teeters
Title
Manager
Phone
(301) 803-0618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2 Kathleen Dr
Jackson, NJ 08527-2269

Mailing address

2 Kathleen Dr
Jackson, NJ 08527-2269
Phone (732) 730-9500

Other names 2

  • Bella Terra by Monarch Doing business as
  • Monarch Communities Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1633132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633132800000",
    "number": "1366114845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KATHLEEN DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272269",
            "telephone_number": "732-730-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KATHLEEN DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272269",
            "telephone_number": "732-730-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH BELLA TERRA TENANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-02",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A",
        "authorized_official_last_name": "TEETERS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-803-0618"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Terra by Monarch",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monarch Communities",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; 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.