COLONIAL RETIREMENT CENTER INC. (NPI# 1518095223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518095223 |
| Entity Type | Organization |
| Organization Name | COLONIAL RETIREMENT CENTER INC. |
| Other Organization Name | COLONIAL RESIDENTIAL CARE FACILITY II |
| Practice Address |
1162 Cedar Street Bismarck MO 63624-0727 |
| Mailing Address |
1162 Cedar Street P.o.box 727 Bismarck MO 63624-0727 |
| Practice Telephone | 5737342846 |
| Practice Fax Number | 5737342008 |
| Mailing Telephone | 5737342846 |
| Mailing Fax Number | 5737342008 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RONALD LYNN CONWAY (ADMINISTRATOR) |
| Authorized Official Telephone | 5737342846 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 032375 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 2667449911 | 05 |
| Other Name | Type Code |
|---|---|
| Colonial Residential Care Facility II | Doing Business As Name - Organization |
| Street Address |
1162 CEDAR STREET |
| City | BISMARCK |
| State | MO |
| Zip Code | 63624-0727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699822056 | Joseph Christopher Cangelosi | Dentist | 900 S Cedar St., Bismarck, MO 63624-0026 | 2007-01-05 |
| 1629298989 | Kelley B Gray | Speech-Language Pathologist | Bismarck R-v School District, 101 Dennis Dr, Bismarck, MO 63624-0257 | 2007-04-27 |
| 1003956475 | Bismarck R-v School District | Physical Therapist | 101 Dennis Drive, Bismarck, MO 63624-0257 | 2007-02-07 |
| 1942676002 | Victoria Nicole Eftink | Speech-Language Pathologist | 165 Campus Dr, Bismarck, MO 63624-8500 | 2015-08-12 |
| 1598020133 | Andrea M Kellerman | Speech-Language Pathologist | 101 Dennis Dr, Special Services -- Claim Care, Bismarck, MO 63624-9075 | 2012-07-10 |
| 1306098918 | Jennifer L Roach | Social Worker | 605 Cedar St, Bismarck, MO 63624-9467 | 2008-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821471 | Kari Hanson | Student in an Organized Health Care Education/Training Program | 4822 N 19th St, Bismarck, ND 58503-5687 | 2020-11-03 |
| 1619578077 | Hit Inc. | Community/Behavioral Health | 1517/1519 S Washington St, Bismarck, ND 58504 | 2020-11-03 |
| 1518568963 | Hit Inc. | Community/Behavioral Health | 1509/1511 S Washington St., Bismarck, ND 58504 | 2020-11-03 |
| 1407457096 | Amanda R Heupel | Technician | 1000 E Lasalle Dr, Bismarck, ND 58503-8895 | 2020-11-02 |
| 1487255931 | Happy and Smile LLC | Home Health | 721 Memorial Hwy Ste 4, Bismarck, ND 58504-5398 | 2020-11-02 |
| 1427658061 | Stephanie Zinke | Technician | 215 E Arbor Ave, Bismarck, ND 58504-5767 | 2020-10-30 |
| 1295335131 | Amanda Elizabeth Rodin | Technician | 936 Summit Blvd Apt 1, Bismarck, ND 58504-5202 | 2020-10-29 |
| 1932709144 | Melissa Guthmiller | Technician | 1507 E Bowen Ave, Bismarck, ND 58504-6028 | 2020-10-27 |
| 1053910570 | Courtney Cunningham | Respite Care | 3712 E Regent Dr, Bismarck, ND 58504-7530 | 2020-10-26 |
| 1558960039 | Ruth Joan Schill | Technician | 420 E Main Ave Apt 611, Bismarck, ND 58501-4068 | 2020-10-26 |
| Find all providers in BISMARCK | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770783169 | Burleigh County Housing Authority | Assisted Living Facility | 901 E Bowen Ave, Bismarck, ND 58504-5686 | 2007-07-23 |
| 1932252376 | Edgewood Vista Senior Living Inc | Assisted Living Facility | 3406 Dominion St, Bismarck, ND 58503-5577 | 2007-01-19 |
| 1780123208 | Benedictine Living Communities - Bismarck Housing, LLC | Assisted Living Facility | 4580 Coleman St, Bismarck, ND 58503-0431 | 2017-02-16 |
| 1932588621 | Edgewood Bismarck Senior Living LLC | Assisted Living Facility | 3406 Dominion St, Bismarck, ND 58503-5577 | 2015-05-27 |
| 1598936247 | Edgewood Bismarck Senior Living, LLC | Assisted Living Facility | 3406 Dominion St, Bismarck, ND 58503-5577 | 2008-03-20 |
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| 1700486859 | Hillcrest Residential Care | Assisted Living Facility | 9415 N North Browns Station Rd, Columbia, MO 65202-8671 | 2020-10-28 |
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1205433638 | Skyline Assisted Living LLC | Assisted Living Facility | 100 Hard Rock Rd, Van Buren, MO 63965-0780 | 2020-10-08 |
| 1023615622 | Four Seasons Care Corp | Assisted Living Facility | 230 Railroad St, Moscow Mills, MO 63362-1600 | 2020-10-06 |
| 1336754985 | Tiffany Springs Senior Care Community | Assisted Living Facility | 9101 N Ambassador Dr, Kansas City, MO 64154-7295 | 2020-09-10 |
| 1366053480 | Green Acres Assisted Living LLC | Assisted Living Facility | 411 N Kings Highway, Sikeston, MO 63801-1936 | 2020-08-12 |
| 1467062612 | Welcome Home Assisted Living, LLC | Assisted Living Facility | 5 Adams Dr, Dexter, MO 63841-1985 | 2020-08-03 |
| 1831725142 | Harmony Gardens Residential, LLC | Assisted Living Facility | 539 E Young Ave, Warrensburg, MO 64093-1228 | 2020-03-18 |
| 1386278414 | Family Partners Home LLC | Assisted Living Facility | 232 Creve Coeur Ave, Manchester, MO 63011-4040 | 2020-02-27 |
| Find all providers with the same taxonomy | ||||
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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.