Colonial Development, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

11 Issued in TN

Legal business name

COLONIAL DEVELOPMENT, INC.

Practice address

2034 Cochran Rd
Maryville, TN 37803-2807

Phone

(865) 982-6161

Fax

(865) 982-6930

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Cindy S. Cross

Title

Assistant Secretary

Phone

(423) 473-5867

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Colonial Hills Nursing Center Doing business as

Tax ID family

Blount Medical Investors Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blount Medical Investors, Inc.

  • Skilled Nursing Facility
  • Louisville, TN
  • NPI 1124499777
  NPD tax ID

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1881625804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 COCHRAN RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378032807",
            "telephone_number": "865-982-6161",
            "fax_number": "865-982-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "11",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440380",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Hills Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brent Patrick Collins, D.D.S., M.S.
• Brittany Collins, CCC-SLP
• Jean Marie Collins, D.O.
• Kimberly Wilder Collins, MD
• Patricia A Collins, DPH
• Vivian L Colont, RN APRN NURSE PRACTI
• Linda R. Colvin
• Shelby Ann Combs
• Compassion Counseling
• Complete Family Care of Maryville, PLLC

• Skilled Nursing Facility in Maryville, TN
• Providers in Maryville, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.