NPIMap

Organization Active NPI

Colonial Senior Services, Inc.

Doing business as The Patterson

  • Assisted Living Facility
  • Dayton, OH
National Provider Identifier
1013749589
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COLONIAL SENIOR SERVICES, INC.
Doing business as
The Patterson
Practice address
4175 Indian Ripple Rd
Dayton, OH 45440-3245
Phone
(937) 230-4711
NPI assigned
Aug 14, 2024
Last updated
Aug 14, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COLONIAL SENIOR SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Brian Krause
Title
Cfo
Phone
(513) 785-4054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

4175 Indian Ripple Rd
Dayton, OH 45440-3245

Mailing address

230 Ludlow St
Hamilton, OH 45011-2903

Other names 1

  • The Patterson Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2160788Colonial Senior Services, Inc4175 Indian Ripple Road, Beaver Creek, OH 45440Certificate of waiverJan 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Colonial Senior Services Inc8 organizations share this tax ID, including this one
Part of
Colonial Senior Services Inc

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1013749589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LUDLOW ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 INDIAN RIPPLE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403245",
            "telephone_number": "937-230-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL SENIOR SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLONIAL SENIOR SERVICES, INC.",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "513-785-4054"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Patterson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.