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MIRA VIE AT BRICK OPCO LLC
NPI 1306694203
Assisted Living Facility in Brick, NJ

Active since May 07, 2024CLIA 31D2194608 · Waiver
458 JACK MARTIN BLVD, BRICK, NJ 08724(732) 236-7981(844) 808-0071 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mira Vie At Brick Opco Llc NPPES

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

MIRA VIE AT BRICK OPCO LLC (NPI 1306694203), doing business as Mira Vie At Brick, is a healthcare organization registered as an assisted living facility in Brick, New Jersey and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Billie Abreu, Director Of Admin, as its authorized official.

NPPES Registry Identity

NPI1306694203
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMIRA VIE AT BRICK OPCO LLC
Location Address458 JACK MARTIN BLVDBrick, NJ 08724-7739
Mailing Address4301 Anchor Plaza Pkwy Ste 300Tampa, FL 33634-7521 · (813) 330-2660
Phone(732) 236-7981
Fax(844) 808-0071
Organization SubpartNo
Authorized OfficialBillie AbreuDirector Of Admin · (813) 330-2660
Enumeration DateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1306694203 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.
458 JACK MARTIN BLVD, Brick, NJ 08724
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Other Names 1

Doing Business AsMira Vie At Brick

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 31D2194608

Mira Vie At Brick · Brick, NJ
Active · expires Sep 30, 2026
CLIA Number31D2194608
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorTerry K. Brooks
Laboratory Phone(732) 206-9800
Laboratory LocationMira Vie At Brick458 Jack Martin Blvd, Brick, NJ 08724
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MRS. ELAINA ANN LIPPSETT OTR/L
Occupational Therapist
458 JACK MARTIN BLVD, SUNDANCE REHABILITATION
BRICK, NJ 08724
Ocean County (848) 210-2096
BRICK SENIOR CARE, LLC
Assisted Living Facility
458 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 206-9800
CRP WORTHINGTON LESSEE, L.P.
Assisted Living Facility
458 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 206-9800

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 Mira Vie At Brick Opco LLC's NPI number?

The NPI number for Mira Vie At Brick Opco LLC is 1306694203. It was assigned to this organization in the NPPES registry on May 7, 2024. The provider is doing business as Mira Vie at Brick.

Where is Mira Vie At Brick Opco LLC located?

Mira Vie At Brick Opco LLC is located at 458 Jack Martin Blvd, Brick, NJ 08724. The listed phone number is (732) 236-7981.

What is Mira Vie At Brick Opco LLC's specialty?

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

Does Mira Vie At Brick Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2194608) is associated with this NPI, valid through September 30, 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 Mira Vie At Brick Opco LLC was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.