MONTVILLE SENIOR CARE, LLC (NPI# 1356621429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356621429 |
| Entity Type | Organization |
| Organization Name | MONTVILLE SENIOR CARE, LLC |
| Other Organization Name | THE CHELSEA AT MONTVILLE |
| Practice Address |
165 Changebridge Rd Montville NJ 07045-9563 |
| Practice Telephone | 9734021100 |
| Practice Fax Number | 9734024132 |
| Mailing Telephone | 9734021100 |
| Mailing Fax Number | 9734024132 |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |
| Authorized Official Name | MR. ROGER BERNIER (COO) |
| Authorized Official Telephone | 9088894200 |
| Is Organization Subpart | Y |
| Parent Organization Name | CMG CHELSEA SENIOR CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 031446 | NJ | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Chelsea at Montville | Doing Business As Name - Organization |
| Street Address |
165 CHANGEBRIDGE RD |
| City | MONTVILLE |
| State | NJ |
| Zip Code | 07045-9563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962520593 | Ca Montville LLC | Assisted Living Facility | 165 Changebridge Rd, Montville, NJ 07045-9563 | 2007-03-26 |
| 1285001685 | Serban Buretea | Physical Therapist | 165 Changebridge Rd, Montville, NJ 07045-9563 | 2015-09-01 |
| 1043613896 | Michelle Lynne Albano | Physical Therapist | 165 Changebridge Rd, Montville, NJ 07045-9563 | 2014-10-07 |
| 1063756476 | Jillian C Gradzki | Speech-Language Pathologist | 165 Changebridge Rd, Montville, NJ 07045-9563 | 2012-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780160655 | Jkf Consulting | Psychologist | 120 Ridge Dr, Montville, NJ 07045 | 2018-07-13 |
| 1215466651 | Raymond Scott Giordano | Home Health Aide | 150 River Road Suite F1, Montville, NJ 07045 | 2017-06-08 |
| 1275942732 | Falcon Medical Corp | Ambulance | 10 Joan Dr, Montville, NJ 07045 | 2014-08-10 |
| 1467875708 | Alyssa Puorro | Chiropractor | 20 Cambray Road, Montville, NJ 07045 | 2014-01-22 |
| 1376985085 | Peaceful Journey | Counselor | 328 Changebridge Road, Montville, NJ 07045 | 2013-07-23 |
| 1457639908 | Ellen Marie Ruban | Social Worker | 390 Main Rd., Montville, NJ 07045 | 2011-08-02 |
| 1215251228 | Hetal Sojitra | Physical Therapist | 115 Horseneck Rd Ste 5, Montville, NJ 07045 | 2010-03-19 |
| 1447452693 | Tara Ann Gieger | Dental Hygienist | 140 River Road, Suite J-2, Montville, NJ 07045 | 2007-06-01 |
| 1023219565 | Joyce Levine Stern | Social Worker | 170 Changebridge Road, Suite C2, Montville, NJ 07045 | 2007-05-31 |
| 1174683478 | Montville Pharmacy Nj Corp | Pharmacy | 185 Changebridge Road, Montville, NJ 07045 | 2006-12-10 |
| Find all providers in zip 07045 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962520593 | Ca Montville LLC | Assisted Living Facility | 165 Changebridge Rd, Montville, NJ 07045-9563 | 2007-03-26 |
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|---|---|---|---|---|
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| 1417589763 | Shp Vi Mountainside LLC | Assisted Living Facility | 1050 Springfield Ave, Mountainside, NJ 07092-2905 | 2020-02-05 |
| 1548891948 | Compact Care Facilities | Assisted Living Facility | 4646 Thelma Ave, Mays Landing, NJ 08330-9579 | 2020-02-04 |
| 1366073140 | Sjf Ccrc, Inc | Assisted Living Facility | 1110 Laurel Oak Rd, Voorhees, NJ 08043-4344 | 2020-01-30 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.