Active NPI
The Arc of Monmouth, Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Tinton Falls, NJ
National Provider Identifier
1962882480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- THE ARC OF MONMOUTH, INC.
- Doing business as
- Columbia and Virginia Manors
- Practice address
- 1150 Wayside Road
Columbia Manor GRP Home
Tinton Falls, NJ 07712 - Phone
- (732) 493-3433
- Fax
- (732) 493-1753
- NPI assigned
- Jun 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Barbara Lamar
- Title
- Billing Specialists
- Phone
- (327) 493-1919
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NJ | Primary |
Addresses
Primary practice location
1150 Wayside Road
Columbia Manor GRP Home
Tinton Falls, NJ 07712
Mailing address
1158 Wayside Road
Tinton Falls, NJ 07712
Phone (732) 493-1919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0462985 | Medicaid | NJ |
Other names 1
- Columbia and Virginia Manors
National Provider Directory
National Provider Directory- Tax ID family
- The Arc of Monmouth Inc
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- NPI 1114307428
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- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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- NPI 1285013706
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672444800000",
"number": "1962882480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1158 WAYSIDE ROAD",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "07712",
"telephone_number": "732-493-1919",
"fax_number": "732-493-3604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 WAYSIDE ROAD",
"address_2": "COLUMBIA MANOR GRP HOME",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "07712",
"telephone_number": "732-493-3433",
"fax_number": "732-493-1753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ARC OF MONMOUTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-01",
"last_updated": "2022-12-31",
"certification_date": "2022-12-31",
"status": "A",
"authorized_official_last_name": "LAMAR",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "BILLING SPECIALISTS",
"authorized_official_telephone_number": "327-493-1919",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0462985",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Columbia and Virginia Manors",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Columbia and Virginia Manors",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tinton Falls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.