Colonial Vista Care Centers, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH1305 Issued in WA

Legal business name

COLONIAL VISTA CARE CENTERS, LLC

Practice address

625 Okanogan Ave.
Wenatchee, WA 98801

Phone

(509) 888-6090

Fax

(509) 665-7388

NPI assigned

Sep 14, 2005

Last updated

Feb 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert B. Norman

Title

Administrator

Phone

(509) 665-9462

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1184619249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 OKANOGAN AVE STE A",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013461",
            "telephone_number": "509-663-8564",
            "fax_number": "509-663-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 OKANOGAN AVE.",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "98801",
            "telephone_number": "509-888-6090",
            "fax_number": "509-665-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL VISTA CARE CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-665-9462",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH1305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113056",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francis JV Collins, MD, DDS
• Jerrad Elijah Collins
• Jill M Collins, SUDPT
• Julie Collins, CO60554860
• Patricia Maureen Collins, PT
• Colonial Vista Community Healthcare LLC (Colonial Vista Senior Living)
• Colonial Vista SNF Healthcare LLC (Colonial Vista Post Acute)
• John F. Colpitts, MD
• Columbia Chiropractic Clinic
• Columbia Counseling

• Skilled Nursing Facility in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.