Organization Active NPI

Collier Care LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Canton, OH
National Provider Identifier
1760256887
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
COLLIER CARE LLC
Practice address
1906 Woodlawn Ave NW
Canton, OH 44708-2132
Phone
(330) 915-8954
Fax
(234) 214-0523
NPI assigned
Nov 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Mr. Ira Darcel Collier
Title
Owner
Phone
(330) 915-8954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1906 Woodlawn Ave NW
Canton, OH 44708-2132

Mailing address

1906 Woodlawn Ave NW
Canton, OH 44708-2132
Phone (330) 915-8954

National Provider Directory

National Provider Directory

Locations

1906 Woodlawn Ave NW
Canton, OH 44708
Phone (330) 915-8954

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1760256887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 WOODLAWN AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447082132",
            "telephone_number": "330-915-8954",
            "fax_number": "234-214-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 WOODLAWN AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447082132",
            "telephone_number": "330-915-8954",
            "fax_number": "234-214-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "DARCEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-915-8954",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.