Organization Active NPI

The Arc of Monmouth

Doing business as Bergerville Group Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Freehold, NJ
National Provider Identifier
1619357134
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
THE ARC OF MONMOUTH
Doing business as
Bergerville Group Home
Practice address
122 Bergerville Rd
Freehold, NJ 07728-8518
Phone
(732) 462-0720
Fax
(732) 462-9694
NPI assigned
Jun 1, 2015
Last updated
Dec 30, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
THE ARC OF MONMOUTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Authorized official

Name
Mrs. Barbara Lamar
Title
Billing Specialist
Phone
(732) 493-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

122 Bergerville Rd
Freehold, NJ 07728-8518

Mailing address

122 Bergerville Rd
Freehold, NJ 07728-8518
Phone (732) 462-0720

Other names 1

  • Bergerville Group Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Monmouth43 organizations share this tax ID, including this one
Part of
The Arc of Monmouth

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1619357134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BERGERVILLE RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288518",
            "telephone_number": "732-462-0720",
            "fax_number": "732-462-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BERGERVILLE RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288518",
            "telephone_number": "732-462-0720",
            "fax_number": "732-462-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF MONMOUTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE ARC OF MONMOUTH",
        "enumeration_date": "2015-06-01",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "LAMAR",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "732-493-1919",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bergerville Group Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bergerville Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.