Colonial Group LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

09-000360-1 Issued in IN

Legal business name

COLONIAL GROUP LLC

Practice address

5430 W US Highway 40
Greenfield, IN 46140-8803

Phone

(317) 894-3301

Fax

(317) 254-2510

NPI assigned

Nov 2, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia Rene Roth

Title

Controller

Phone

(317) 557-1190

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Colonial Nursing Home Doing business as

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1487980082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 W US HIGHWAY 40",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461408803",
            "telephone_number": "317-894-3301",
            "fax_number": "317-254-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 W US HIGHWAY 40",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461408803",
            "telephone_number": "317-894-3301",
            "fax_number": "317-254-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "317-557-1190",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "09-000360-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100290370",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mindy Closser, NP
• Amy M Coats
• Melinda A. Cobb, MD
• Stefanie Ray Cole, COTA
• John Ralph Collip, M.D.
• John Edward Combs, DC
• Julie Lynn Combs, DDS MS
• Comfort Pathwats Transportation LLC
• Community Hospitals of Indiana
• Community Hospitals of Indiana, Inc

• All providers in Greenfield, IN
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.