Colonial Manor Nursing Center

LBN: Coryell County Memorial Hospital Authority
Colonial Manor Nursing Center is an health care organization with primary practice located at 2035 Granbury St , Cleburne TX 76033-7460. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Coryell County Memorial Hospital Authority can be contacted via phone (817) 645-9134, or through Byrom, David K via phone (254) 248-6300.

Contact Information

Primary practice address
2035 Granbury St Cleburne TX 76033-7460
Phone: (817) 645-9134
Fax: (817) 641-4662
Website:
Map and Directions
Authorized official contact:
Name: Byrom, David K
Phone: (254) 248-6300

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1588073597
LBN Legal business name Coryell County Memorial Hospital Authority
DBA Doing business as Colonial Manor Nursing Center
Authorized official Byrom, David K
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2014
Last updated Aug 5th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588073597 NPPES
Texas MEDICAID 004525

Popular Providers