Organization Active NPI

Collier Services Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Red Bank, NJ
National Provider Identifier
1306978002
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
COLLIER SERVICES INC.
Doing business as
Collier Group Home
Practice address
180 Spring St
Red Bank, NJ 07701-2229
Phone
(732) 946-4771
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah M Drago
Title
Executive Director
Phone
(732) 946-4771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

180 Spring St
Red Bank, NJ 07701-2229

Mailing address

180 Spring St
Red Bank, NJ 07701-2229
Phone (732) 946-4771

Other identifiers 1

IdentifierTypeStateIssuer
8372209MedicaidNJ

Other names 1

  • Collier Group Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1306978002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SPRING ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012229",
            "telephone_number": "732-946-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 SPRING ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012229",
            "telephone_number": "732-946-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "DRAGO",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-946-4771"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8372209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collier Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.