COLONIAL LONG TERM CARE FACILITY INC NPI 1942353677

NPI Information

NPI: 1942353677
Provider Name: COLONIAL LONG TERM CARE FACILITY, INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Doing Business As: COLONIAL CARE, INC
CLIA Number: 34D2020186
Address: 340 SNOWHILL DR
MOUNT AIRY, NC
ZIP 27030
Phone: (336) 786-2194

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NPI Details

COLONIAL LONG TERM CARE FACILITY, INC is an assisted living facility in Mount Airy, NC. 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 LONG TERM CARE FACILITY, INC NPI is 1942353677. The provider is registered as an organization entity type.
The provider Is Doing Business As Colonial Care, Inc.

The provider's business location address is:

340 SNOWHILL DR
MOUNT AIRY, NC
ZIP 27030-394
Phone: (336) 786-2194
Fax: (336) 786-8891

The provider's authorized official is Mark A. Payne .
The authorized official title is Administrator and has the following contact phone number (336) 786-2194.

The CLIA number assigned to this NPI record is 34D2020186 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 8/20/2010.

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
1	310400000X	Assisted Living Facility		HAL-086-002	NORTH CAROLINA	Yes

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
1	7801494	MEDICAID	NORTH CAROLINA

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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