Wilmac Healthcare, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

033402 Issued in PA

Legal business name

WILMAC HEALTHCARE, INC.

Doing business as

Colonial Manor Nursing & Rehab Center

Practice address

970 Colonial Ave
York, PA 17403-3430

Phone

(717) 845-2661

Fax

(717) 854-0529

NPI assigned

Jul 21, 2005

Last updated

Jan 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard W. Bricker

Title

Vice-President

Phone

(717) 854-7857

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Colonial Manor Nursing & Rehab Center Doing business as

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1912907841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 COLONIAL AVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033430",
            "telephone_number": "717-845-2661",
            "fax_number": "717-854-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 COLONIAL AVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033430",
            "telephone_number": "717-845-2661",
            "fax_number": "717-854-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMAC HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "BRICKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "717-854-7857",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "033402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2006635",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01027036",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "395168",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Manor Nursing & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Lynn Williams, CRNP
• Tyler Bennett Williams, MS, BCBA
• Brent L Williamson, M.D.
• Gregory S Willis, DO
• Kerry C Willis, CRNP
• Claire Wilson Waring, MD
• Alisha Venae Wilson, MS
• Claire Wilson
• Deric Michael Wilson, D.O.
• Erica A Wilson, PHARMD

• Skilled Nursing Facility in York, PA
• Providers in York, PA by specialty
• Skilled Nursing Facility in Pennsylvania

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