NPIMap

Organization Active NPI

Collabria Care

  • Adult Day Care Clinic/Center
  • Napa, CA
National Provider Identifier
1972506624
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
070000499 Issued in CA
Legal business name
COLLABRIA CARE
Practice address
414 S Jefferson St
Napa, CA 94559-4515
Phone
(707) 258-9087
Fax
(707) 254-4157
NPI assigned
May 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Donald W Anderson Jr.
Title
Assistant Secretary of Enrollments
Phone
(425) 358-9786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 070000499 CA Primary

Addresses

Primary practice location

414 S Jefferson St
Napa, CA 94559-4515

Mailing address

414 S Jefferson St
Napa, CA 94559-4515
Phone (707) 258-9087

Other identifiers 1

IdentifierTypeStateIssuer
ADU70129FMedicaidCA

Other names 2

  • COLLABRIA DAY PROGRAM Doing business as
  • Adult Day Services of Napa Valley Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171030003454 CA Part B Supplier - Clinic/Group Practice 8123073707 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Napa, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
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.

Locations

3299 Claremont Way
Napa, CA 94558
Phone (707) 253-0123

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1972506624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 S JEFFERSON ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945594515",
            "telephone_number": "707-258-9087",
            "fax_number": "707-254-4157"
        },
        {
            "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": "707-258-9087",
            "fax_number": "707-254-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABRIA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-25",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "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_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "070000499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70129F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLLABRIA DAY PROGRAM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adult Day Services of Napa Valley",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.