MT. ARLINGTON SENIOR LIVING
NPI 1114133105
Assisted Living Facility in Mt Arlington, NJ

Active since May 15, 2007CLIA 31D2196538 · Waiver
2 HILLSIDE DR, MT ARLINGTON, NJ 07856(973) 601-0988 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mt. Arlington Senior Living NPPES

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

MT. ARLINGTON SENIOR LIVING (NPI 1114133105) is a healthcare organization registered as an assisted living facility in Mt Arlington, New Jersey and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 18, 2026 and lists Katherine E Potter, President & Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1114133105
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFIVE STAR QUALITY CARE - NJ, LLC
Location Address2 HILLSIDE DRMt Arlington, NJ 07856-1501
Mailing Address2 Hillside DrMt Arlington, NJ 07856-1501
Organization SubpartYesParent: Five Star Quality Care - Ne. Llc
Authorized OfficialKatherine E PotterPresident & Chief Executive Officer · (617) 796-8387
Enumeration DateMay 15, 2007
Last NPPES UpdateMarch 28, 2019
NPI 1114133105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in NJ · 0127485
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.

2 HILLSIDE DR, Mt Arlington, NJ 07856

Other Names 1

Doing Business AsMt. Arlington Senior Living

Other Identifiers 1

Medicaid0186899NJ

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D2196538
Facility Type
Assisted Living Facility
Certificate Effective Date
October 19, 2024
Certificate Expiration Date
October 18, 2026
Laboratory Director
CHRISTOPHER WINNIE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mt. Arlington Senior Living to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MT. ARLINGTON SENIOR LIVING

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Physical Therapist
2 HILLSIDE DR
MOUNT ARLINGTON, NJ 07856
Assisted Living Facility
2 HILLSIDE DR
MT ARLINGTON, NJ 07856
Assisted Living Facility
2 HILLSIDE DR
MT ARLINGTON, NJ 07856
Occupational Therapist
2 HILLSIDE DR
MOUNT ARLINGTON, NJ 07856
Physical Therapist
2 HILLSIDE DR
MT ARLINGTON, NJ 07856
Occupational Therapist
2 HILLSIDE DR
MT ARLINGTON, NJ 07856

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114133105, enumerated as an "organization" on May 15, 2007.

The provider is located at 2 HILLSIDE DR MT ARLINGTON, NJ 07856 and the phone number is (973) 601-0988.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.