Colonial New Braunfels Care Center, LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

112254 Issued in TX

Legal business name

COLONIAL NEW BRAUNFELS CARE CENTER, LP

Practice address

821 Hwy 81 W
New Braunfels, TX 78130-5741

Phone

(830) 625-7526

Fax

(830) 620-0921

NPI assigned

Oct 5, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Gary Goodin

Title

Administrator

Phone

(830) 625-7526

Specialties & licenses 1

Addresses

Other names 1

• Colonial Manor Care Center Doing business as

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154318020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 HWY 81 W",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305741",
            "telephone_number": "830-625-7526",
            "fax_number": "830-620-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 HWY 81 W",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305741",
            "telephone_number": "830-625-7526",
            "fax_number": "830-620-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL NEW BRAUNFELS CARE CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "830-625-7526",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "112254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Reese Cole, DDS
• Crytsal Lynn Collins, RN, MSN CNOR
• Joey Collins
• Myra T Collins, MD
• Colonial New Braunfels Care Center, LLC
• Scott Allen Coltharp, PA-C
• Vernon L Colvin, DDS
• Comal County
• Comal County Senior Citizen'S Foundation Dba My Friend'S Haus
• Comal County Senior Citizens Center

• Skilled Nursing Facility in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.