Colonial Skilled Nursing Facility, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COLONIAL SKILLED NURSING FACILITY, LLC

Practice address

2090 N Congress Ave
West Palm Beach, FL 33401-8210

Phone

(561) 214-4997

NPI assigned

Jun 22, 2021

Organization subpart

No

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

Authorized official

Name

Ricki KanetiNPI 1891675732

Title

Managing Member

Phone

(954) 600-6333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Skilled nursing facility certification: CCN 105875

Legal name

COLONIAL SKILLED NURSING FACILITY, LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 26, 1995

Last certification

May 15, 2025

Beds

30

Ownership / control type

Corporation

Most recent change of ownership

Jan 1, 2006

Organization structure

LLCProprietary

Incorporated

Jun 10, 2021 in FL

Enrollment address

2090 N Congress Ave
West Palm Beach, FL 33401-8210

Nursing home name

COLONIAL SKILLED NURSING FACILITY LLC

Listed as

Colonial Skilled Nursing Facility LLCCCN 105875

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 26, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3028.1 residents per day on average

Penalties (3 years)

2Fines totaling $5,395

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 6

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Lloyd Cecil Lagrange Jr., M.D.

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1407839947

  Adp of the SNF

  CMS ownership

Practitioners 1

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

• Ricki Kaneti

  • Assisted Living Facility
  • Boca Raton, FL
  • NPI 1891675732
  NPD Authorized official

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Lloyd Cecil Lagrange Jr., M.D.

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1407839947

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1417526674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 WALNUT ST",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320433443",
            "telephone_number": "305-469-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 N CONGRESS AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334018210",
            "telephone_number": "561-214-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL SKILLED NURSING FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "KANETI",
        "authorized_official_first_name": "RICKI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "954-600-6333"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecile Alice Colman
• Marc A Colman, BC HIS, ACA
• Colmans Hearing Solutions
• Gioconda Coloma
• Colonial Assisted Living at Palm Beach, LLC
• Melanie Colontorres
• Colorful Smile Behavioral & Home Services Inc.
• Colorful Worlds ABA Center LLC
• Columbia Home Health Care Inc
• Columbia Hospital Palm Beaches Limited Partnership

• Skilled Nursing Facility in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.