Colonial Manor Ltc, Llc in Canton - Skilled Nursing Facility
Colonial Manor Ltc, Llc - NPI 1164411187
Colonial Manor Ltc, Llc is a Skilled Nursing Facility in Canton, Ohio. Colonial Manor Ltc, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Colonial Manor Ltc, Llc is 1164411187. The last update date is 2020-08-22.
Colonial Manor Ltc, Llc's current location address is 1528 Market Ave N, Canton, Ohio. You can contact this provider via phone number 3304538466 and fax number 3304531424. The mailing address for Colonial Manor Ltc, Llc is 1528 Market Ave N, Canton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Colonial Manor Ltc, Llc |
|---|---|
| Address | 1528 Market Ave N, Canton, Ohio |
| Phone Number | 3304538466 |
| Fax Number | 3304531424 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Slyk P Michael |
| Credentials | PHARMD FAS |
| Telephone Number | 3304243721 |
NPI Number Detail
| NPI Number | 1164411187 |
|---|---|
| Provider Enumeration Date | 2005-10-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1528 Market Ave N |
|---|---|
| City | Canton |
| State | Ohio (OH) |
| Post Code | 447142695 |
| Phone Number | 3304538466 |
| Fax Number | 3304531424 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 3620 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 177544 | OH | -- | |
| 2635938 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Colonial Manor Ltc, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Colonial Manor Ltc, Llc has been assigned the NPI (National Provider Identifier) 1164411187. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Colonial Manor Ltc, Llc?
The Colonial Manor Ltc, Llc is situated at 1528 Market Ave N, in the city of Canton, state of OH, with the zip code 447142695.
What is the area of specialization for Colonial Manor Ltc, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Colonial Manor Ltc, Llc is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.
On what date did the Colonial Manor Ltc, Llc receive the assignment of its 1164411187 from the Centers for Medicare & Medicaid Services?
The Colonial Manor Ltc, Llc was issued its 1164411187 by the Centers for Medicare & Medicaid Services on 2005-10-21.
When was the information regarding Colonial Manor Ltc, Llc most recently updated?
The details pertaining to the Colonial Manor Ltc, Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.