Organization · Type 2 NPI

Colonial SCC LLC

Skilled Nursing Facility · Bossier City, LA

NPI number 1699156513 Active

Practice location

4921 Medical Dr
Bossier City, LA 71112-4522

Call (318) 742-5420 Map

Fax (318) 742-5420

Mailing address

600 N Pearl St, Suite 1100
Dallas, TX 75201-2822

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

2 other providers at this address

Other skilled nursing facility providers in Bossier City

See all in Bossier City →

NPI record

NPI: 1699156513
Entity type: Organization (Type 2)
Issued: Jun 16, 2015
Last updated: Mar 3, 2020
Status: Active

Other names

<unavail>
SCC of Colonial Oaks Rehabilitation Center · doing business as
SCC of Colonial Oaks Rehabilitation Center · doing business as

Authorized official

Michael Beal
Chief Executive Officer
(214) 252-7600

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1699156513

Colonial SCC LLC's National Provider Identifier is 1699156513, issued on Jun 16, 2015. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Bossier City, LA. The record was last updated on Mar 3, 2020.