OrganizationActive
Colonial Manor Management Company, L.L.C.
NPI 1225170467 · Skilled Nursing Facility · Tulsa, OK
Provider details
- NPI number
- 1225170467
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ed Rucker, Administrator(918) 743-7838
- License
- NH7208-7208 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1815 E Skelly Dr
Tulsa, OK 74105-5919
Phone: (918) 743-7838
Fax: (918) 748-5970
Street-level locationGet directions
Mailing address
1815 E Skelly Dr
Tulsa, OK 74105-5919
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2011-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.