OrganizationActive
15204 West Colonial Drive Operations LLC
NPI 1831468610 · Skilled Nursing Facility · Winter Garden, FL
Provider details
- NPI number
- 1831468610
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Ussery, Vp(407) 571-1550
- License
- SNF1610096 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
15204 W Colonial Dr
Winter Garden, FL 34787-6042
Phone: (407) 877-2394
Fax: (407) 877-6143
Approximate (ZIP-level) locationGet directions
Mailing address
15204 W Colonial Dr
Winter Garden, FL 34787-6042
Other names (DBA / former)
- Doing business as
- Colonial Lakes Health Care
- Doing business as
- Colonial Lakes Health Care
Registry dates
- Enumerated
- 2011-12-22
- Last updated
- 2023-11-27
- Certified
- 2020-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.