Colonial Nursing Center

LBN: Colonial Manor Ltc, Llc
Colonial Nursing Center is an health care organization with primary practice located at 1528 Market Ave N , Canton OH 44714-2695. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Colonial Manor Ltc, Llc can be contacted via phone (330) 453-8466, or through Slyk, Michael P via phone (330) 424-3721.

Contact Information

Primary practice address
1528 Market Ave N Canton OH 44714-2695
Phone: (330) 453-8466
Fax: (330) 453-1424
Website:
Map and Directions
Authorized official contact:
Name: Slyk, Michael P PHARMD FASCP
Phone: (330) 424-3721

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 3620 Ohio
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3620 Ohio

Profile Details

NPI number 1164411187
LBN Legal business name Colonial Manor Ltc, Llc
DBA Doing business as Colonial Nursing Center
Authorized official Slyk, Michael P PHARMD FASCP
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164411187 NPPES
Ohio MEDICAID 0177544
Ohio MEDICAID 2635938

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