Organization Active NPI

Brick Senior Care, LLC

  • Assisted Living Facility
  • Brick, NJ
National Provider Identifier
1992085377
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
65A007 Issued in NJ
Legal business name
BRICK SENIOR CARE, LLC
Practice address
458 Jack Martin Blvd
Brick, NJ 08724-7739
Phone
(732) 206-9800
Fax
(732) 206-9801
NPI assigned
Aug 17, 2011
Organization subpart
Yes
Parent organization
CMG CHELSEA SENIOR CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Mr. Roger Bernier
Title
Coo
Phone
(908) 889-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 65A007 NJ Primary

Addresses

Primary practice location

458 Jack Martin Blvd
Brick, NJ 08724-7739

Mailing address

458 Jack Martin Blvd
Brick, NJ 08724-7739
Phone (732) 206-9800

Other names 1

  • The Chelsea at Brick Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1992085377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247739",
            "telephone_number": "732-206-9800",
            "fax_number": "732-206-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247739",
            "telephone_number": "732-206-9800",
            "fax_number": "732-206-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRICK SENIOR CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CMG CHELSEA SENIOR CARE, LLC",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "BERNIER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "908-889-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "65A007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Chelsea at Brick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.