Colonial Manor Nursing Center

LBN: Colonial Manor Nursing Center-Cleburne, L.P.
Colonial Manor Nursing Center is an health care organization with primary practice located at 2035 N. Granbury Street , Cleburne TX 76033-7460. 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 Nursing Center-Cleburne, L.P. can be contacted via phone (817) 645-9134, or through Licari, Peter J via phone (215) 441-7700.

Contact Information

Primary practice address
2035 N. Granbury Street Cleburne TX 76033-7460
Phone: (817) 645-9134
Fax: (817) 641-4662
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 108467 Texas
Suppliers / Nursing Facility Supplies 332BN1400X 115703 Texas
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 115703 Texas

Profile Details

NPI number 1255320032
LBN Legal business name Colonial Manor Nursing Center-Cleburne, L.P.
DBA Doing business as Colonial Manor Nursing Center
Authorized official Licari, Peter J
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2005
Last updated Oct 26th, 2007 - about 18 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 1255320032 NPPES
Texas MEDICAID 004525

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