Colonial Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COLONIAL CARE CENTER, LLC

Doing business as

Colonial Care CTR-Chelsea-

Practice address

401 Redbud LN
Chelsea, OK 74016-1453

Phone

(918) 789-3215

Fax

(918) 789-2644

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Taylor

Title

VP in Charge of Reimbursement

Phone

(918) 775-6200

Specialties & licenses 1

Addresses

Other names 1

• Colonial Care CTR-Chelsea- Doing business as

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508853680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N ELM ST",
            "address_2": "SUITE A",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749554633",
            "telephone_number": "918-775-6200",
            "fax_number": "918-775-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 REDBUD LN",
            "city": "CHELSEA",
            "state": "OK",
            "postal_code": "740161453",
            "telephone_number": "918-789-3215",
            "fax_number": "918-789-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "VP IN CHARGE OF REIMBURSEMENT",
        "authorized_official_telephone_number": "918-775-6200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Care CTR-Chelsea-",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Chelsea, OK
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• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.