Colonial Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COLONIAL HEALTHCARE LLC

Doing business as

Tranquility of Rockford

Practice address

203 Buckeye St
Rockford, OH 45882-9266

Phone

(419) 363-2192

NPI assigned

May 21, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Melvin Eugene Woodward Jr.

Title

Ceo

Phone

(828) 381-4923

Specialties & licenses 1

Addresses

Other names 1

• Tranquility of Rockford Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Skilled nursing facility certification: CCN 366234

Legal name

COLONIAL HEALTHCARE LLC

Doing business as

COLONIAL NURSING CENTER OF ROCKFORD

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 6, 2002

Last certification

Mar 9, 2023

Beds

34

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Tranquility SNF Management

Organization structure

LLCProprietary

Incorporated

May 1, 2014 in OH

Enrollment address

201 Buckeye St
Rockford, OH 45882-9266

Nursing home name

COLONIAL NURSING CENTER OF ROCKFORD

Affiliated entity

HILLSTONE HEALTHCARE

Listed as

Colonial Nursing Center of RockfordCCN 366234 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 6, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3432.7 residents per day on average

Chain

Hillstone Healthcare9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Colonial Healthcare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Colonial Healthcare LLC

  • Assisted Living Facility
  • Rockford, OH
  • NPI 1003636770
  NPD tax ID
• Colonial Healthcare LLC

  • Non-emergency Medical Transport (VAN)
  • Rockford, OH
  • NPI 1386581502
  NPD tax ID

Locations

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matt Dapore

  • Nursing Home Administrator
  • Rockford, OH
  • NPI 1740600964
  NPD (past)
• Edward E Hosbach II, D.O.

  • Family Medicine Physician
  • Ft Recovery, OH
  • NPI 1740280619
  NPD (past)
• Rachel Lynn Hunter, D.O.

  • Hospitalist Physician
  • Kettering, OH
  • NPI 1851379309
  NPD (past)

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1417369760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 4TH ST NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014920",
            "telephone_number": "828-381-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BUCKEYE ST",
            "city": "ROCKFORD",
            "state": "OH",
            "postal_code": "458829266",
            "telephone_number": "419-363-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-381-4923",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tranquility of Rockford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaci Allmandinger, CNP
• Colonial Healthcare LLC
• Colonial Healthcare LLC
• Matt Dapore
• Mark Daniel Dewitt
• Grand Lake Family Dentistry Travis D Lutz DDS- Rockford LTD
• John K Granger, DMD
• Benjamin Keith Gudorf, CNP

• Skilled Nursing Facility in Rockford, OH
• Providers in Rockford, 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 Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.