OrganizationActive
Colonial Scc LLC
NPI 1699156513 · Skilled Nursing Facility · Bossier City, LA
Provider details
- NPI number
- 1699156513
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Beal, Chief Executive Officer(214) 252-7600
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4921 Medical Dr
Bossier City, LA 71112-4522
Phone: (318) 742-5420
Fax: (318) 742-5420
Approximate (ZIP-level) locationGet directions
Mailing address
600 N Pearl St
Dallas, TX 75201-2822
Other names (DBA / former)
- Doing business as
- Scc of Colonial Oaks Rehabilitation Center
- Doing business as
- Scc of Colonial Oaks Rehabilitation Center
Registry dates
- Enumerated
- 2015-06-16
- Last updated
- 2020-03-03
- Certified
- 2020-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.