Ocoee Colby Healthcare Center LLC

Key facts

NPI: 1992790075
Entity type: Organization (NPI type 2)
Primary specialty: Skilled Nursing Facility 314000000X
License: 3080 (WI)
Legal business name: OCOEE COLBY HEALTHCARE CENTER LLC
Practice address: 702 W Dolf St
Colby, WI 54421-9604
Phone: (715) 223-2352
Fax: (859) 281-5150
NPI assigned: Sep 15, 2005
Organization subpart: No

Authorized official

Name: John Sheehan
Title: Member
Phone: (423) 618-1488

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Putnam County Hospital Pediatric Skilled Nursing Facility · Wabash, IN · NPI 1316932874

NPD member Member Of

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Michael A Umland, MD Family Medicine Physician · Wausau, WI · NPI 1518920578

NPD (past)

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
52D0395392	Colonial Center 702 W Dolf St, Colby, WI 54421	Certificate of waiver	Aug 31, 2026

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Skilled Nursing Facility	314000000X	3080	WI	Yes

Addresses

Primary practice location

702 W Dolf St
Colby, WI 54421-9604

Mailing address

3915 Adkisson Dr NW
Cleveland, TN 37312-2821
Phone (423) 834-3188

Other identifiers

Identifier	Type	State	Issuer
20191800	Medicaid	WI

Other names

Colonial Center Doing business as

Other providers in Colby, WI

All providers in Colby, WI · Skilled Nursing Facility in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Care Compare provider data (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.