Colonial Oaks Blackhawk LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COLONIAL OAKS BLACKHAWK LLC

Practice address

22550 S Franklin St
Spring Hill, KS 66083-8763

Phone

(913) 686-3170

NPI assigned

Jun 21, 2021

Last updated

Jun 21, 2021By 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

Joseph R Hagan

Title

Asset Manager

Phone

(713) 780-8100

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1982273363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 ROUTH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22550 S FRANKLIN ST",
            "city": "SPRING HILL",
            "state": "KS",
            "postal_code": "660838763",
            "telephone_number": "913-686-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL OAKS BLACKHAWK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ASSET MANAGER",
        "authorized_official_telephone_number": "713-780-8100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Adele Bloodgood, O.D.
• Jennifer C Bulcock, MD
• Steven Frederick Burmaster, DDS
• Itzel Anahi Carranza
• Colonial Oaks at Spring Hill Property Company LLC (Colonial Oaks at Spring Hill)
• Angela Cronister, RN
• Daniel J. Harding D.C., LLC
• Pedro Campos De Castro
• Karla Aneva Dennis, M.A., CCC-SLP, M.ED
• Kimberly Divine, LPC

• Assisted Living Facility in Spring Hill, KS
• Providers in Spring Hill, KS by specialty
• Assisted Living Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.