COLONIAL MANOR (NPI# 1457358426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457358426 |
| Entity Type | Organization |
| Organization Name | COLONIAL MANOR |
| Practice Address |
747 S Mount Vernon Ave Loudonville OH 44842-1416 |
| Practice Telephone | 4199944191 |
| Practice Fax Number | 4199943756 |
| Mailing Telephone | 4199944191 |
| Mailing Fax Number | 4199943756 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LINDA SUE SNOWBARGER (OWNER/OPERATOR) |
| Authorized Official Telephone | 4199944191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 2482 | OH | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COLONIAL MANOR | 209 W Hackberry Ave, Mcallen, TX 78501-2550 |
| Oregon Corporations, Companies and Business Names | COLONIAL MANOR APARTMENT | 1038 Ne 21st Avenue, Hillsboro, OR 97124 |
| Oregon Corporations, Companies and Business Names | COLONIAL MANOR APARTMENTS LLC | 1038 Ne 21st Ave, Hillsboro, OR 97124 |
| Connecticut Business Registrations | Colonial Manor Apartments, LLC | 115 Degroff Place, Park Ridge, NJ 07656 |
| New York State Corporations | COLONIAL MANOR APARTS., INC. | 22 Stoneridge Rd, Apt 206, Middletown, Ny 10941 |
| Virginia Business Entities | Colonial Manor Apts LLC | 2321 Gate Rd, Christiansburg, Virginia 24073 |
| Washington State Corporations | COLONIAL MANOR ASSOCIATES | 9757 Ne Juanita Dr Ste 300, Kirkland, WA 98034 |
| New York State Corporations | COLONIAL MANOR CONDOMINIUMS LLC | P.o. Box 509, Poughkeepsie, Ny 126020509 |
| Indiana Business Entities | COLONIAL MANOR ESTATES, INC. | 260 W. Main, Petersburg, IN 47567 |
| Washington State Corporations | COLONIAL MANOR GROUP, LLP | 420 E Howell, Seattle, WA 98122-6949 |
| Street Address |
747 S MOUNT VERNON AVE |
| City | LOUDONVILLE |
| State | OH |
| Zip Code | 44842-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386639078 | Colonial Manor Health Care Center, Inc. | Skilled Nursing Facility | 747 S Mount Vernon Ave, Loudonville, OH 44842-1416 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821599416 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 596 Hagan Dr, Loudonville, OH 44842 | 2018-02-28 |
| 1093216681 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 114 Banks Ave, Loudonville, OH 44842 | 2018-02-28 |
| 1922509512 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 150 Banks Ave, Loudonville, OH 44842 | 2018-02-28 |
| 1285135871 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 207 Middle Dr, Loudonville, OH 44842 | 2018-02-28 |
| 1346263563 | Loudonville Family Vision Inc | Optometrist | 631 N Union St, Loudonville, OH 44842 | 2006-07-26 |
| 1316170913 | Jennifer Leigh Goss | Licensed Practical Nurse | 118 W Loudon Ave, Loudonville, OH 44842-1021 | 2009-08-28 |
| 1457502353 | Joshua E Kaufman | Counselor | 637 N Market St, Loudonville, OH 44842-1029 | 2008-10-09 |
| 1578071262 | Michael Bitner | Nurse Practitioner | 546 N Union St, Loudonville, OH 44842-1040 | 2018-01-16 |
| 1538799325 | Dominique B James | Nurse Practitioner | 546 N Union St, Loudonville, OH 44842-1040 | 2020-01-21 |
| 1124175997 | Darrel L Scott | Dentist | 633 N Union St, Loudonville, OH 44842-1074 | 2007-01-04 |
| Find all providers in zip 44842 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730663139 | Pamela Sue Williams | Nursing Facility/Intermediate Care Facility | 1112 Wamajo Dr, Sandusky, OH 44870-4368 | 2018-09-20 |
| 1407363849 | Provider Services LLC | Nursing Facility/Intermediate Care Facility | 3071 Dunbarton Ave Nw, Canton, OH 44708-1818 | 2018-01-08 |
| 1518493683 | Melody Sue King | Nursing Facility/Intermediate Care Facility | 822 Youngs Lane, Cincinnati, OH 45245 | 2017-05-10 |
| 1700323631 | Mika Derifield | Nursing Facility/Intermediate Care Facility | 205 S Pardee St, Wadsworth, OH 44281-1465 | 2017-01-30 |
| 1336693860 | Taria Thompson | Nursing Facility/Intermediate Care Facility | 613 E 102nd St, Cleveland, OH 44108-1326 | 2016-08-13 |
| 1205389319 | Soamazin Automotive | Nursing Facility/Intermediate Care Facility | 14115 Maplerow Ave, Cleveland, OH 44105-6447 | 2016-07-26 |
| 1194198143 | Christina Laury | Nursing Facility/Intermediate Care Facility | 7666 Clovernook Ave, Cincinnati, OH 45231-3506 | 2015-11-12 |
| 1437539483 | Arlington Pointe Investment Group, LLC | Nursing Facility/Intermediate Care Facility | 4900 Hendrickson Road, Middletown, OH 45044 | 2015-06-04 |
| 1972981322 | Toward Independence Inc. | Nursing Facility/Intermediate Care Facility | 1841 Pueblo Dr, Xenia, OH 45385-4228 | 2015-05-18 |
| 1053799783 | Toward Independence Inc. | Nursing Facility/Intermediate Care Facility | 5021 Oaklawn Dr, Cincinnati, OH 45227-1433 | 2015-05-14 |
| Find all providers with the same taxonomy | ||||
| City | LOUDONVILLE |
| Zip Code | 44842 |
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| 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.