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ARBOR TERRACE MOUNTAINSIDE
NPI 1265031314
Assisted Living Facility in Mountainside, NJ

Active since October 20, 2020CLIA 31D2146654 · Waiver
1050 SPRINGFIELD AVE, MOUNTAINSIDE, NJ 07092(908) 760-0599(908) 264-7780 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 9, 2020, Oct 20, 2020 (2 updates tracked since 2020).

About Arbor Terrace Mountainside NPPES

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

ARBOR TERRACE MOUNTAINSIDE (NPI 1265031314) is a healthcare organization registered as an assisted living facility in Mountainside, New Jersey and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through April 3, 2028 and lists Daniel Mckeever, Vice President- Senior Housing, as its authorized official.

NPPES Registry Identity

NPI1265031314
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSHP VI LLC
Location Address1050 SPRINGFIELD AVEMountainside, NJ 07092-2905
Mailing Address1050 Springfield AveMountainside, NJ 07092-2905 · (908) 760-0599 · Fax (908) 264-7780
Phone(908) 760-0599
Fax(908) 264-7780
Organization SubpartNo
Authorized OfficialDaniel MckeeverVice President- Senior Housing · (973) 683-1670
Enumeration DateOctober 20, 2020
Last NPPES UpdateNovember 9, 20202 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
✔ NPI 1265031314 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.
1050 SPRINGFIELD AVE, Mountainside, NJ 07092
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Other Names 1

Doing Business AsArbor Terrace Mountainside

Other Identifiers 1

Medicaid0735914NJ

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 31D2146654

Arbor Terrace Mountainside · Mountainside, NJ
Active · expires Apr 3, 2028
CLIA Number31D2146654
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorKelly L. Adams
Laboratory Phone(908) 760-0599
Laboratory LocationArbor Terrace Mountainside1050 Springfield Avenue, Mountainside, NJ 07092
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHP VI MOUNTAINSIDE LLC
Assisted Living Facility
1050 SPRINGFIELD AVE
MOUNTAINSIDE, NJ 07092
Union County (908) 760-0599

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 Shp Vi LLC's NPI number?

The NPI number for Shp Vi LLC is 1265031314. It was assigned to this organization in the NPPES registry on October 20, 2020. The provider is doing business as Arbor Terrace Mountainside.

Where is Shp Vi LLC located?

Shp Vi LLC is located at 1050 Springfield Ave, Mountainside, NJ 07092. The listed phone number is (908) 760-0599.

What is Shp Vi LLC's specialty?

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

Does Shp Vi LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2146654) is associated with this NPI, valid through April 3, 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 Shp Vi LLC was last updated on November 9, 2020. 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.