PMG OPCO-COLONIAL LLC
NPI 1124589544
Skilled Nursing Facility in Bossier City, LA

Active since March 28, 2019
2/5
Overall Rating
4921 MEDICAL DR, BOSSIER CITY, LA 71112(318) 742-5420(318) 742-8887 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pmg Opco-colonial Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PMG OPCO-COLONIAL LLC (NPI 1124589544), doing business as Colonial Oaks Skilled Nursing And Rehabilitation, is a healthcare organization registered as a skilled nursing facility in Bossier City, Louisiana and active in the NPI registry since March 2019. The organization lists Steven Boulware, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1124589544
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePMG OPCO-COLONIAL LLC
Location Address4921 MEDICAL DRBossier City, LA 71112-4522
Mailing Address4921 Medical DrBossier City, LA 71112-4522 · (318) 742-5420 · Fax (318) 742-8887
Fax(318) 742-8887
Organization SubpartNo
Authorized OfficialSteven BoulwareManaging Member · (972) 428-0900
Enumeration DateMarch 28, 2019
NPI 1124589544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
4921 MEDICAL DR, Bossier City, LA 71112

Other Names 1

Doing Business AsColonial Oaks Skilled Nursing And Rehabilitation

Accepted Insurance

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Colonial Oaks Skilled Nursing And Rehabilitation (CMS certification number 195604), from CMS Care Compare.

Colonial Oaks Skilled Nursing And Rehabilitation

Nursing home · Bossier City, LA
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number195604
Certified Beds120 beds70 residents per day on average
Medicare & Medicaid Participant SinceSeptember 24, 2004
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
37.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.86 · LPN 1.32 · RN 0.13
3.31 hrs per resident per day
Weekend Nurse Staffing
2.83 hrs per resident per day
Physical Therapist Staffing
0.07 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
60%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
1
Infection-Control Citations
2
Fines
2 totaling $14,429.25
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
4921 MEDICAL DR
BOSSIER CITY, LA 71112
Skilled Nursing Facility
4921 MEDICAL DR
BOSSIER CITY, LA 71112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pmg Opco-Colonial LLC's NPI number?

The NPI number for Pmg Opco-Colonial LLC is 1124589544. It was assigned to this organization in the NPPES registry on March 28, 2019. The provider is doing business as Colonial Oaks Skilled Nursing And Rehabilitation.

Where is Pmg Opco-Colonial LLC located?

Pmg Opco-Colonial LLC is located at 4921 Medical Dr, Bossier City, LA 71112. The listed phone number is (318) 742-5420.

What is Pmg Opco-Colonial LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Pmg Opco-Colonial LLC a Medicare-certified nursing home?

Yes. Colonial Oaks Skilled Nursing And Rehabilitation is a Medicare-certified nursing home with 120 certified beds.

What quality rating does Pmg Opco-Colonial LLC have?

CMS rates Colonial Oaks Skilled Nursing And Rehabilitation 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Pmg Opco-Colonial LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Pmg Opco-Colonial LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pmg Opco-Colonial LLC was last updated on March 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.