Ca Montville LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

59E97L Issued in NJ

Legal business name

CA MONTVILLE LLC

Doing business as

The Chelsea at Montville

Practice address

165 Changebridge Rd
Montville, NJ 07045-9563

Phone

(973) 402-1100

Fax

(973) 402-4132

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Deena B Schaffer

Title

Cfo

Phone

(908) 522-0808

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Chelsea at Montville Doing business as

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962520593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 UNION PL",
            "address_2": "2ND FL",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013650",
            "telephone_number": "908-522-0808",
            "fax_number": "908-522-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CHANGEBRIDGE RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459563",
            "telephone_number": "973-402-1100",
            "fax_number": "973-402-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CA MONTVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "DEENA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "908-522-0808",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "59E97L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8561907",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Chelsea at Montville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bethesda Lutheran Communities
• Kathleen Brandt, MA, OTR/L
• Denise Ann Brewer, L.P.C.
• Maya Karam Buono, M.S., OTR/L
• Serban Buretea, DPT
• Roberto L Caga-Anan, MD
• Anthony Cannilla, DMD
• Genevieve S. Castaneda, PA-C
• Celerion Diagnostic Network LLC
• Changebridge Medical Associates PA

• Assisted Living Facility in Montville, NJ
• Providers in Montville, 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 Aug 22, 2020; 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.