NPIMap

Organization Active NPI

Montclair Care Center LLC

  • Skilled Nursing Facility
  • Montclair, NJ
National Provider Identifier
1407413404
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MONTCLAIR CARE CENTER LLC
Practice address
111-115 Gates Ave
Montclair, NJ 07042-2500
Phone
(973) 746-4616
NPI assigned
May 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Authorized official

Name
Usher Egert
Title
Owner
Phone
(973) 746-4616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

111-115 Gates Ave
Montclair, NJ 07042-2500

Mailing address

111-115 Gates Ave
Montclair, NJ 07042-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190724002650 NJ Part A Provider - Skilled Nursing Facility 7214263516 Practice locations: Montclair, NJ

Skilled nursing facility certification: CCN 315363

Legal name
MONTCLAIR CARE CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 31, 1996
Last certification
Apr 5, 2024
Beds
64
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Highbridge Healthcare
Organization structure
LLCProprietary
Incorporated
Mar 7, 2019 in NJ
Enrollment address
111-115 Gates Ave
Montclair, NJ 07042-2500
Nursing home name
MONTCLAIR CARE CENTER
Affiliated entity
HIGHBRIDGE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Montclair Care CenterCCN 315363
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 31, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6457.9 residents per day on average
Chain
Highbridge Healthcare6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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
31D2197887Montclair Care Center111-115 Gates Ave, Montclair, NJ 07042Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory

Locations

111 Gates Ave
#115
Montclair, NJ 07042
Phone (973) 746-4616

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Debbie Egert Individual 5% Or Greater Direct Ownership InterestOwner Jun 13, 2019 10%
Usher Egert Individual 5% Or Greater Direct Ownership InterestOwner Jun 13, 2019 10%
W-2 Managing Employee Jun 13, 2019
Brian Natanov Individual 5% Or Greater Direct Ownership InterestOwner Jun 13, 2019 80%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1407413404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111-115 GATES AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111-115 GATES AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422500",
            "telephone_number": "973-746-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "EGERT",
        "authorized_official_first_name": "USHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-746-4616"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.