Family of Caring Healthcare at Montclair, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FAMILY OF CARING HEALTHCARE AT MONTCLAIR, LLC

Doing business as

Family of Caring at Van Dyk Montclair

Practice address

42 N Mountain Ave
Montclair, NJ 07042-2318

Phone

(973) 783-9400

Fax

(973) 783-8499

NPI assigned

Sep 6, 2018

Last updated

Feb 21, 2020By 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

Mr. Edward Friedman

Title

Vice President

Phone

(201) 391-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family of Caring at Van Dyk Montclair Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770065674. Details of each certification follow.

• CCN 315435 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 315435

Legal name

FAMILY OF CARING HEALTHCARE AT MONTCLAIR LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 15, 1998

Last certification

Mar 13, 2023

Beds

70

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Family of Caring Healthcare System

Organization structure

LLCProprietary

Incorporated

Jul 11, 2018 in NJ

Enrollment address

42 N Mountain Avenue
Montclair, NJ 07042-2318

Nursing home name

FAMILY OF CARING HEALTHCARE AT MONTCLAIR

Affiliated entity

FAMILY OF CARING HEALTHCARE

Listed as

Family of Caring Healthcare at MontclairCCN 315435 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 15, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7065.3 residents per day on average

Chain

Family of Caring Healthcare8 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 5

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

Affiliated clinicians 9

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

• Bharat Reddy Allam, D.O.

  • Internal Medicine Physician
  • Montclair, NJ
  • NPI 1780001891

  Nursing home

  Care Compare affiliation
• Naveen Reddy Allam, M.D.

  • Internal Medicine Physician
  • Montclair, NJ
  • NPI 1790051191

  Nursing home

  Care Compare affiliation
• Rowen Gumpas Diano, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Montclair, NJ
  • NPI 1992862585

  Nursing home

  Care Compare affiliation
• Kavita Gupta, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Cedar Grove, NJ
  • NPI 1073833554

  Nursing home

  Care Compare affiliation
• Marc Morresi, MD

  • Internal Medicine Physician
  • Montclair, NJ
  • NPI 1760645030

  Nursing home

  Care Compare affiliation
• David Shaker, DO

  • Internal Medicine Physician
  • Hackensack, NJ
  • NPI 1396130365

  Nursing home

  Care Compare affiliation
• Alexandre M Shehata, MD

  • Internal Medicine Physician
  • Nutley, NJ
  • NPI 1467956664

  Nursing home

  Care Compare affiliation
• Tianzhong Yang, M.D.

  • Internal Medicine Physician
  • Montclair, NJ
  • NPI 1255521753

  Nursing home

  Care Compare affiliation
• Tehrim Zahid

  • Internal Medicine Physician
  • Montclair, NJ
  • NPI 1215515796

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1770065674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 N MOUNTAIN AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422318",
            "telephone_number": "973-783-9400",
            "fax_number": "973-783-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 N MOUNTAIN AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422318",
            "telephone_number": "973-783-9400",
            "fax_number": "973-783-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY OF CARING HEALTHCARE AT MONTCLAIR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "201-391-0900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0661392",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family of Caring at Van Dyk Montclair",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Y Faison, DOULA
• Faith Dunkel, Psy.D., LLC
• Family and Sports Medicine Institute of New Jersey LLC
• Family Chiropractors of Montclair LLC
• Family Footcare Center of Montclair
• Family Promise of Essex County, Inc.
• Family Service League, Inc. (None)
• Mehrnaz Farasat, MD
• Phoebe Farber, LCSW, PHD
• Suzanne Farkas, LCSW

• Skilled Nursing Facility in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.