Merry Heart Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

14A002 Issued in NJ

Legal business name

MERRY HEART ASSISTED LIVING, LLC

Practice address

118 Main St
Succasunna, NJ 07876-1316

Phone

(973) 584-4000

Fax

(973) 584-2717

NPI assigned

Mar 18, 2011

Last updated

Mar 18, 2011By 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

Mrs. Blanquita Montilla Bonifacio, R.N., LNHA

Title

C.E.O.

Phone

(973) 584-4000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1568761302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MAIN ST",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761316",
            "telephone_number": "973-584-4000",
            "fax_number": "973-584-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAIN ST",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761316",
            "telephone_number": "973-584-4000",
            "fax_number": "973-584-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRY HEART ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "BONIFACIO",
        "authorized_official_first_name": "BLANQUITA",
        "authorized_official_middle_name": "MONTILLA",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "973-584-4000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N., LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "14A002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Elizabeth McGrath, RNFA
• Kelly McGuinness
• Christina Medore, MS, BCBA
• James Winston Mell, LCADC
• Merry Heart Ambulance LLC
• Merry Heart Nursing & Conv Cent
• Michael E. Kostelnik, MD PA
• Michael Mandell M.D. OB/GYN
• Michelle Rosenberg
• Aileen Anne Milde, ATC

• Assisted Living Facility in Succasunna, NJ
• Providers in Succasunna, 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 Mar 18, 2011; 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.