Colonial Manor LTC, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3620 Issued in OH

Legal business name

COLONIAL MANOR LTC, LLC

Doing business as

Colonial Nursing Center

Practice address

1528 Market Ave N
Canton, OH 44714-2695

Phone

(330) 453-8466

Fax

(330) 453-1424

NPI assigned

Oct 21, 2005

Organization subpart

No

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

Authorized official

Name

Michael P Slyk, PHARMD FASCP

Title

President

Phone

(330) 424-3721

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Colonial Nursing Center Doing business as

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1164411187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447142695",
            "telephone_number": "330-453-8466",
            "fax_number": "330-453-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447142695",
            "telephone_number": "330-453-8466",
            "fax_number": "330-453-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL MANOR LTC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SLYK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-424-3721",
        "authorized_official_credential": "PHARMD FASCP"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "3620",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "3620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0177544",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2635938",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Collins, PT, DPT
• Joel Brian Collins II, MD
• Kalece Collins
• Rachael Collins
• Stephen Collins
• Joni Colucy
• Angela R Combs, MSN, APRN, PMHNP-BC
• Rodney Comer, LPN
• Shannon Dyan Comer, LPN
• Commquest Services, Inc.

• Skilled Nursing Facility in Canton, OH
• Providers in Canton, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.