Collabria Care

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

COLLABRIA CARE

Doing business as

Providence PACE

Practice address

414 S Jefferson St
Napa, CA 94559-4515

Phone

(707) 254-4159

Fax

(707) 699-1557

NPI assigned

Aug 24, 2022

Last updated

May 14, 2025By 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

Mr. Donald W Anderson Jr.

Title

Assistant Secretary of Enrollments

Phone

(425) 358-9786

Specialties & licenses 1

Addresses

Other names 1

• Providence PACE Doing business as

Tax ID family

Collabria Care2 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.

• Collabria Care

  dba Collabria Day Program

  • Adult Day Care Clinic/Center
  • Napa, CA
  • NPI 1972506624
  NPD tax ID

Locations

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1700505617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-3064",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911103064",
            "telephone_number": "707-254-4159",
            "fax_number": "707-699-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 S JEFFERSON ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945594515",
            "telephone_number": "707-254-4159",
            "fax_number": "707-699-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABRIA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY OF ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence PACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald Coleman
• Xia Coleman
• Rebekah Coles
• Lilian Colindres
• Collabria Care (Providence Palliative Care Napa Valley)
• Collabria Care (Collabria Day Program)
• Autumn Collins
• Harold Collins
• Heather Collins, NP
• Mahriana Ama Collins

• PACE Provider Organization in Napa, CA
• Providers in Napa, CA by specialty
• PACE Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.