Colonial Manor Management Company, L.L.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH7208-7208 Issued in OK

Legal business name

COLONIAL MANOR MANAGEMENT COMPANY, L.L.C.

Practice address

1815 E Skelly Dr
Tulsa, OK 74105-5919

Phone

(918) 743-7838

Fax

(918) 748-5970

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ed Rucker

Title

Administrator

Phone

(918) 743-7838

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1225170467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E SKELLY DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741055919",
            "telephone_number": "918-743-7838",
            "fax_number": "918-748-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E SKELLY DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741055919",
            "telephone_number": "918-743-7838",
            "fax_number": "918-748-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL MANOR MANAGEMENT COMPANY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-743-7838",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH7208-7208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200119130A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Collins, M.D.
• Rachel Collins, APRN-CNP
• Taylor William Collins
• Tom Collins Sr.
• Colon & Rectal Clinic of Tulsa PC
• Colonial Manor Nursing Center, Inc.
• Colonial Manor Operations LLC
• Berkley Colopy
• G. Thomas Colpitts II, DDS
• Victoria Nicole Colpitts, MS, RD, LD

• Skilled Nursing Facility in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.