Active NPI
Arv Assisted Living, Inc.
Doing business as Collier Park
- Assisted Living Facility
- Beaumont, TX
National Provider Identifier
1306140207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- ARV ASSISTED LIVING, INC.
- Doing business as
- Collier Park
- Practice address
- 4650 Collier St
Beaumont, TX 77706-7078 - Phone
- (409) 899-4800
- NPI assigned
- Jan 6, 2011
- Last updated
- Jan 6, 2011
- Organization subpart
- Yes
- Parent organization
- ARV ASSISTED LIVING, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Moore
- Title
- Ceo
- Phone
- (502) 779-7608
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
4650 Collier St
Beaumont, TX 77706-7078
Mailing address
4650 Collier St
Beaumont, TX 77706-7078
Phone (409) 899-4800
Other names 1
- Collier Park
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2194590 | Collier Park | Certificate of waiver | Sep 30, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Arv Assisted Living Inc
- Part of
- Arv Assisted Living Inc
Other organizations with this tax ID 29
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294272000000",
"number": "1306140207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 COLLIER ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777067078",
"telephone_number": "409-899-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 COLLIER ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777067078",
"telephone_number": "409-899-4800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARV ASSISTED LIVING, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ARV ASSISTED LIVING, INC.",
"enumeration_date": "2011-01-06",
"last_updated": "2011-01-06",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "502-779-7608"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Collier Park",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.