MONTVALE OPCO, LLC
NPI 1053989806
Assisted Living Facility in Montvale, NJ

Active since June 16, 2021CLIA 31D2253239 · Waiver
110 SUMMIT AVE, MONTVALE, NJ 07645(201) 201-8815 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Montvale Opco, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTVALE OPCO, LLC (NPI 1053989806) is a healthcare organization registered as an assisted living facility in Montvale, New Jersey and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through February 17, 2028, maintains a secondary practice location in Montvale, and lists Kimberly Gebert, Operations Lead, as its authorized official.

NPPES Registry Identity

NPI1053989806
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMONTVALE OPCO, LLC
Location Address110 SUMMIT AVEMontvale, NJ 07645-1775
Mailing Address295 W Grand AveMontvale, NJ 07645-1805 · (678) 314-2619
Organization SubpartYesParent: Thrive Senior Living, Llc
Authorized OfficialKimberly GebertOperations Lead · (678) 314-2619
Enumeration DateJune 16, 2021
Last NPPES UpdateJune 17, 2021
NPPES CertifiedJune 17, 2021
NPI 1053989806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
110 SUMMIT AVE, Montvale, NJ 07645

Secondary Practice Location 1

Location 1295 W Grand AveMontvale, NJ 07645-1805 · Phone (678) 314-2619

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2253239

Montvale Opco LLC Dba Thrive At Montvale · Montvale, NJ
Active · expires Feb 17, 2028
CLIA Number31D2253239
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorPeter Gunderson
Laboratory Phone(201) 201-8815
Laboratory LocationMontvale Opco LLC Dba Thrive At Montvale110 Summit Ave, Montvale, NJ 07645
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Montvale Opco, LLC's NPI number?

The NPI number for Montvale Opco, LLC is 1053989806. It was assigned to this organization in the NPPES registry on June 16, 2021.

Where is Montvale Opco, LLC located?

Montvale Opco, LLC is located at 110 Summit Ave, Montvale, NJ 07645. The listed phone number is (201) 201-8815.

What is Montvale Opco, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Montvale Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2253239) is associated with this NPI, valid through February 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Montvale Opco, LLC was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.