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Colonial Manor Ltc, Llc
Skilled Nursing Facility in Canton, Ohio
NPI 1164411187

Colonial Manor Ltc, Llc is a Skilled Nursing Facility based in Canton, OH. Colonial Manor Ltc, Llc practices in Canton, OH. The NPI Number for Colonial Manor Ltc, Llc is 1164411187 and holds a License No. 3620 (Ohio).

The current practice location address for Colonial Manor Ltc, Llc is 1528 Market Ave N, Canton, OH and can be reached out via phone at 330-453-8466 and via fax at 330-453-1424. You can also correspond with Colonial Manor Ltc, Llc through the mailing address at 1528 MARKET AVE N, CANTON, OH - 44714-2695 (mailing address contact number: 330-453-8466).

Location: 1528 Market Ave N, Canton, OH, 44714-2695
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164411187
Provider Name
Colonial Manor Ltc, Llc
Credential
Provider Entity Type
Organization
Address
1528 Market Ave N, Canton, OH, 44714-2695
Phone Number
330-453-8466
Fax Number
330-453-1424
Provider Enumeration Date
10/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0177544 05 OH
2635938 05 OH
institution
Provider Business Practice Location Address Details
Address
1528 Market Ave N
City
Canton
State
Ohio
Zip
44714-2695
Phone Number
330-453-8466
Fax Number
330-453-1424
person
Provider Business Mailing Address Details
Address
1528 Market Ave N
City
Canton
State
Ohio
Zip
44714-2695
Phone Number
330-453-8466
Fax Number
330-453-1424
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
3620 (Ohio)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
3620 (Ohio)
Definition
(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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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