PATRIOTS COLONY, INC.


Address: 6000 Patriots Colony Dr, Williamsburg, VA 23188-1396
Phone: 7572209000

PATRIOTS COLONY, INC. (NPI# 1205945904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205945904
Entity Type Organization
Organization Name PATRIOTS COLONY, INC.
Other Organization Name PATRIOTS COLONY AT WILLIAMSBURG
Practice Address 6000 Patriots Colony Dr
Williamsburg
VA 23188-1396
Mailing Address 608 Denbigh Blvd
Suite 600
Newport News
VA 23608-4410
Practice Telephone 7572209000
Practice Fax Number 7572201681
Mailing Telephone 7578752023
Mailing Fax Number 7578752016
Enumeration Date 2006-08-29
Last Update Date 2008-05-22
Authorized Official Name MR. F. MICHAEL MARTIN (SENIOR VP, RTC)
Authorized Official Telephone 7578752050
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332BP3500X Durable Medical Equipment & Medical Supplies
Specialization: Parenteral & Enteral Nutrition
NH2652 VA Suppliers
N 313M00000X Nursing Facility/Intermediate Care Facility NH2652 VA Nursing & Custodial Care Facilities
N 314000000X Skilled Nursing Facility NH2652 VA Nursing & Custodial Care Facilities
Y 310400000X Assisted Living Facility NH2652 VA Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Patriots Colony at Williamsburg Doing Business As Name - Organization

Office Location

Street Address 6000 PATRIOTS COLONY DR
City WILLIAMSBURG
State VA
Zip Code 23188-1396

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1992287833 Kathryn Goss Atanasov Counselor Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 2018-09-06
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1073979738 Sharon Harper Social Worker 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 2016-01-12
1710362819 Diamond Healthcare Social Worker 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 2015-07-30
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1013326214 Deandra Smith Developmental Therapist 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 2014-08-13
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

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1225686959 Snh Va Tenant LLC Assisted Living Facility 440 Mclaws Cir, Williamsburg, VA 23185-6330 2019-08-27

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1508341231 Pamela Sonia Bynum-doles Assisted Living Facility 716 W 2nd Ave, Franklin, VA 23851-2102 2018-09-27
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Competitor

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City WILLIAMSBURG
Zip Code 23188

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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