COLONIAL RETIREMENT CENTER INC. NPI 1518095223

NPI Information

  • NPI: 1518095223
  • Provider Name: COLONIAL RETIREMENT CENTER INC.
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: COLONIAL RESIDENTIAL CARE FACILITY II
  • CLIA Number: 26D0939096
  • Address: 1162 CEDAR STREET
    BISMARCK, MO
    ZIP 63624
  • Phone: (573) 734-2846

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NPI Details

COLONIAL RETIREMENT CENTER INC. is an assisted living facility in Bismarck, MO. The provider is 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. COLONIAL RETIREMENT CENTER INC. NPI is 1518095223. The provider is registered as an organization entity type.
The provider Is Doing Business As Colonial Residential Care Facility Ii.

The provider's business location address is:

1162 CEDAR STREET
BISMARCK, MO
ZIP 63624-727
Phone: (573) 734-2846
Fax: (573) 734-2008

The provider's authorized official is Ronald Lynn Conway .
The authorized official title is Administrator and has the following contact phone number (573) 734-2846.

The CLIA number assigned to this NPI record is 26D0939096 - other - res care kk with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility032375MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12667449911MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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