THE CHELSEA AT BALD EAGLE
NPI 1124384904
Assisted Living Facility in West Milford, NJ

NPI Status: Active since April 06, 2012

Contact Information

197 CAHILL CROSS RD
WEST MILFORD, NJ
ZIP 07480
Phone: (973) 728-6000
Fax: (973) 657-1657

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 31D2194611
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 09-30-2026

About THE CHELSEA AT BALD EAGLE

This page provides the complete NPI Profile along with additional information for The Chelsea At Bald Eagle, a provider established in West Milford, New Jersey operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1124384904 assigned on April 2012. The practitioner's primary taxonomy code is 310400000X with license number 70A000 (NJ). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as The Chelsea At Bald Eagle. The authorized official of this NPI record is Deena Schaffer (Member)

NPI
1124384904
Provider Legal Name
BALD EAGLE SENIOR LIVING
Other Organization Name
THE CHELSEA AT BALD EAGLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
197 CAHILL CROSS RD WEST MILFORD, NJ 07480
Location Phone
(973) 728-6000
Location Fax
(973) 657-1657
Mailing Address
197 CAHILL CROSS RD WEST MILFORD, NJ 07480
Mailing Phone
(973) 728-6000
Mailing Fax
(973) 657-1657
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-06-2012
Last Update Date
04-06-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
70A000
License State
NJ
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEENA SCHAFFER

Authorized Official Title
MEMBER
Authorized Official Phone
(908) 889-4200

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
31D2194611
Facility Type
Assisted Living Facility
Certificate Effective Date
October 01, 2024
Certificate Expiration Date
September 30, 2026
Laboratory Director
RONALD G. NAHASS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to The Chelsea At Bald Eagle 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 THE CHELSEA AT BALD EAGLE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124384904
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
214468890
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 6 + 8 + 8 + 9 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1124384904 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528404522 JENNIFER MELISSA BUNKERS OTR/L
Individual
Occupational Therapist197 CAHILL CROSS RD
WEST MILFORD, NJ 07480
(973) 506-7730
1235552803 ALISON GERLITZ
Individual
Occupational Therapy Assistant197 CAHILL CROSS RD
WEST MILFORD, NJ 07480
(973) 506-7730
1740672690MR. MARTIN THYVALAPPIL PHARMACIST
Individual
Pharmacist197 CAHILL CROSS RD 316
WEST MILFORD, NJ 07480
(973) 728-4600
1154454023VAN DYK AT BALD EAGLE COMMONS, LLC
Organization
Assisted Living Facility197 CAHILL CROSS RD
WEST MILFORD, NJ 07480
(201) 689-7979
1598513491MIRA VIE AT WEST MILFORD OPCO LLC
Organization
Assisted Living Facility197 CAHILL CROSS RD
WEST MILFORD, NJ 07480
(973) 728-6000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124384904, enumerated in the NPI registry as an "organization" on April 06, 2012

The provider is located at 197 Cahill Cross Rd West Milford, Nj 07480 and the phone number is (973) 728-6000

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

The provider's CLIA number is 31D2194611 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on April 06, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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