MT. ARLINGTON SENIOR LIVING
NPI 1114133105
Assisted Living Facility in Mt Arlington, NJ
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 31D2196538
Mt Arlington Senior Living · Mount Arlington, NJOther Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Five Star Quality Care - Nj, LLC's NPI number?
The NPI number for Five Star Quality Care - Nj, LLC is 1114133105. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is doing business as Mt. Arlington Senior Living.
Where is Five Star Quality Care - Nj, LLC located?
Five Star Quality Care - Nj, LLC is located at 2 Hillside Dr, Mt Arlington, NJ 07856. The listed phone number is (973) 601-0988.
What is Five Star Quality Care - Nj, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Five Star Quality Care - Nj, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2196538) is associated with this NPI, valid through October 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Five Star Quality Care - Nj, LLC was last updated on March 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mt. Arlington Senior Living · NPI 1114133105
Assisted Living Facility organization in Mt Arlington, New Jersey. Organization record, active in the CMS NPPES registry since May 15, 2007.
## Identity
- **NPI:** 1114133105 (Entity type: Organization)
- **Enumerated:** May 15, 2007
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Five Star Quality Care - Nj, Llc
- **Organization subpart:** Yes (part of Five Star Quality Care - Ne. Llc)
- **Authorized official:** Katherine Potter, PRESIDENT & CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 2 HILLSIDE DR, Mt Arlington, NJ 07856-1501
- **Phone:** (973) 601-0988
## Record status
- **NPPES last updated:** March 28, 2019
- **Other identifiers:** Medicaid 0186899 (NJ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114133105) · Data from the CMS NPPES public registry.