Organization Active NPI

The Arc of Monmouth, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Tinton Falls, NJ
National Provider Identifier
1962882480
Registry record updated Dec 31, 2022
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
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

Updated by the provider on Dec 31, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0462985MedicaidNJ

Other names 1

  • Columbia and Virginia Manors Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Monmouth Inc43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

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.

Verify at the official NPI Registry.