Colonial Manor

LBN: Colonial Manor-Mcallen, L.P.
Colonial Manor is an health care organization with primary practice located at 209 W. Hackberry Avenue , Mcallen TX 78501-2559. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Colonial Manor-Mcallen, L.P. can be contacted via phone (956) 686-2243, or through Licari, Peter J via phone (215) 441-7700.

Contact Information

Primary practice address
209 W. Hackberry Avenue Mcallen TX 78501-2559
Phone: (956) 686-2243
Fax: (956) 686-0209
Website:
Map and Directions
Authorized official contact:
Name: Licari, Peter J
Phone: (215) 441-7700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 114556 Texas
Suppliers / Nursing Facility Supplies 332BN1400X 114556 Texas
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 114556 Texas

Profile Details

NPI number 1427047265
LBN Legal business name Colonial Manor-Mcallen, L.P.
DBA Doing business as Colonial Manor
Authorized official Licari, Peter J
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2005
Last updated Nov 14th, 2007 - about 17 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 1427047265 NPPES
Texas MEDICAID 004547

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