NPIMap

Organization Active NPI

Colonial Senior Services, Inc.

  • Assisted Living Facility
  • Mason, OH
National Provider Identifier
1912776014
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COLONIAL SENIOR SERVICES, INC.
Practice address
5373 Merten Dr
Mason, OH 45040-9510
Phone
(513) 466-8400
NPI assigned
Dec 29, 2023
Organization subpart
Yes
Parent organization
COLONIAL SENIOR SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Brian Krause
Title
Chief Financial Officer
Phone
(513) 785-4054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5373 Merten Dr
Mason, OH 45040-9510

Mailing address

230 Ludlow St
Hamilton, OH 45011-2903

Other names 1

  • Montage Mason Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2155117Montage Mason5373 Merten Drive, Mason, OH 45040Certificate of waiverSep 23, 2026

National Provider Directory

National Provider Directory
Tax ID family
Colonial Senior Services Inc8 organizations share this tax ID, including this one
Part of
Colonial Senior Services Inc

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1912776014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LUDLOW ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5373 MERTEN DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409510",
            "telephone_number": "513-466-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL SENIOR SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLONIAL SENIOR SERVICES, INC.",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "513-785-4054"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montage Mason",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.