Colonial Care Center, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

4070 Issued in TX

Legal business name

COLONIAL CARE CENTER, LLC

Doing business as

Colonial Care Center

Practice address

507 West Ave
Schulenburg, TX 78956-1438

Phone

(979) 743-4150

Fax

(979) 743-3273

NPI assigned

Sep 20, 2006

Last updated

Oct 7, 2008By 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

Mrs. Dee Bates

Title

Owner

Phone

(940) 864-3619

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Colonial Care Center Doing business as

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1447358668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 WEST AVE",
            "city": "SCHULENBURG",
            "state": "TX",
            "postal_code": "789561438",
            "telephone_number": "979-743-4150",
            "fax_number": "979-743-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 WEST AVE",
            "city": "SCHULENBURG",
            "state": "TX",
            "postal_code": "789561438",
            "telephone_number": "979-743-4150",
            "fax_number": "979-743-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-864-3619",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "4070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000407003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Facility/Intermediate Care Facility in Schulenburg, TX
• Providers in Schulenburg, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.