Avivian Community Living LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

AVIVIAN COMMUNITY LIVING LLC

Practice address

4094 W Adams Cir
Hammonton, NJ 08037-1061

Phone

(347) 265-5482

NPI assigned

Sep 21, 2026

Last updated

Sep 21, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Eliza Kollie, RN, BSNNPI 1225575947

Title

Managing Member

Phone

(347) 265-5482

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eliza Kollie I

  • Licensed Practical Nurse
  • Staten Island, NY
  • NPI 1225575947
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1417869983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 VANDERBILT AVE APT 3T",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043563",
            "telephone_number": "347-265-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4094 W ADAMS CIR",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371061",
            "telephone_number": "347-265-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIVIAN COMMUNITY LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "KOLLIE",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "347-265-5482",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlanticare Behvioral Health, Inc.
• Atlanticare Physician Group (AtlantiCare Urgent Care)
• Atlanticare Physician Group PA (AtlantiCare Urgent Care - Hammonton)
• Joseph Nicholas Aumenta, RPH
• Cheneen Austin
• Ngozi Azu, FNP
• Sujeiry Baez, LSW
• Sonali Bagchi, M.D
• Sudarshan Bagchi, M.D.
• Khalid M Bajwa, MD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hammonton, NJ
• Providers in Hammonton, NJ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.