Colonial New Braunfels Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

142373 Issued in TX

Legal business name

COLONIAL NEW BRAUNFELS CARE CENTER, LLC

Doing business as

Colonial Manor Care Center

Practice address

821 US Highway 81 West
New Braunfels, TX 78130

Phone

(830) 625-7526

Fax

(830) 620-0921

NPI assigned

May 13, 2006

Organization subpart

No

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

Authorized official

Name

Michel T. Berg

Title

Assistant Secretary

Phone

(505) 468-4752

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Colonial Manor Care Center Doing business as

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513209600000",
    "number": "1710938790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 US HIGHWAY 81 WEST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78130",
            "telephone_number": "830-625-7526",
            "fax_number": "830-620-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 US HIGHWAY 81 WEST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78130",
            "telephone_number": "830-625-7526",
            "fax_number": "830-620-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL NEW BRAUNFELS CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2017-12-14",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "142373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001026588",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Reese Cole, DDS
• Crytsal Lynn Collins, RN, MSN CNOR
• Joey Collins
• Myra T Collins, MD
• Sheila Marie Collins, LCSW
• Colonial New Braunfels Care Center, LP (Colonial Manor Care Center)
• Scott Allen Coltharp, PA-C
• Vernon L Colvin, DDS
• Comal County
• Comal County Senior Citizen's Foundation Dba My Friend's Haus (My Friend's Haus - In Home Senior Care)

• Skilled Nursing Facility in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; 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.