COLLIER PARK
NPI 1306140207
Assisted Living Facility in Beaumont, TX

Active since January 06, 2011CLIA 45D2194590 · Waiver
4650 COLLIER ST, BEAUMONT, TX 77706(409) 899-4800 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Collier Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLIER PARK (NPI 1306140207) is a healthcare organization registered as an assisted living facility in Beaumont, Texas and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists John Moore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306140207
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameARV ASSISTED LIVING, INC.
Location Address4650 COLLIER STBeaumont, TX 77706-7078
Mailing Address4650 Collier StBeaumont, TX 77706-7078 · (409) 899-4800
Organization SubpartYes
Authorized OfficialJohn MooreCeo · (502) 779-7608
Enumeration DateJanuary 6, 2011
NPI 1306140207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4650 COLLIER ST, Beaumont, TX 77706

Other Names 1

Doing Business AsCollier Park

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2194590

Collier Park · Beaumont, TX
Active · expires Sep 30, 2026
CLIA Number45D2194590
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorVicki Lee King
Laboratory Phone(409) 899-4800
Laboratory LocationCollier Park4650 Collier, Beaumont, TX 77706
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
4650 COLLIER ST
BEAUMONT, TX 77706
Physical Therapist
4650 COLLIER ST
BEAUMONT, TX 77706
Speech-Language Pathologist
4650 COLLIER ST
BEAUMONT, TX 77706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arv Assisted Living, Inc.'s NPI number?

The NPI number for Arv Assisted Living, Inc. is 1306140207. It was assigned to this organization in the NPPES registry on January 6, 2011. The provider is doing business as Collier Park.

Where is Arv Assisted Living, Inc. located?

Arv Assisted Living, Inc. is located at 4650 Collier St, Beaumont, TX 77706. The listed phone number is (409) 899-4800.

What is Arv Assisted Living, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Arv Assisted Living, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2194590) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arv Assisted Living, Inc. was last updated on January 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.