Organization Active NPI

Colonial Senior Living of Western PA LLC

  • Skilled Nursing Facility
  • Hagerstown, MD
National Provider Identifier
1902038672
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COLONIAL SENIOR LIVING OF WESTERN PA LLC
Practice address
19713 Spring Creek Rd
Hagerstown, MD 21742-2534
Phone
(301) 542-9721
NPI assigned
Aug 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Scott Colver
Title
Managing Member
Phone
(301) 542-9721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

19713 Spring Creek Rd
Hagerstown, MD 21742-2534

Mailing address

909 West St
Pittsburgh, PA 15221-2833
Phone (301) 542-9721

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1902038672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 WEST ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152212833",
            "telephone_number": "301-542-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19713 SPRING CREEK RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422534",
            "telephone_number": "301-542-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL SENIOR LIVING OF WESTERN PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "COLVER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "301-542-9721"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.