NPIMap

Organization Active NPI

Arv Assisted Living, Inc.

  • Assisted Living Facility
  • Beaumont, TX
National Provider Identifier
1306140207
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ARV ASSISTED LIVING, INC.
Practice address
4650 Collier St
Beaumont, TX 77706-7078
Phone
(409) 899-4800
NPI assigned
Jan 6, 2011
Organization subpart
Yes
Parent organization
ARV ASSISTED LIVING, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2194590Collier Park4650 Collier, Beaumont, TX 77706Certificate of waiverSep 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
Arv Assited Living Inc30 organizations share this tax ID, including this one
Part of
Arv Assited Living Inc

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

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.

Verify at the official NPI Registry.