COLONIAL VILLAGE
NPI 1285852798
Assisted Living Facility in Longview, TX

Active since April 22, 2007
2910 N EASTMAN RD, LONGVIEW, TX 75605(903) 758-6332 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Colonial Village NPPES

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

COLONIAL VILLAGE (NPI 1285852798) is a healthcare organization registered as an assisted living facility in Longview, Texas and active in the NPI registry since April 2007. The organization lists Jon Harder, Medicaid Coordinator, as its authorized official.

NPPES Registry Identity

NPI1285852798
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOLONIAL VILLAGE LV PROPERTY, LTD
Location Address2910 N EASTMAN RDLongview, TX 75605-5029
Mailing Address3723 Fairview Industrial Dr Se, Suite 270Salem, OR 97302-1177
Organization SubpartNo
Authorized OfficialJon HarderMedicaid Coordinator · (903) 758-6332
Enumeration DateApril 22, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1285852798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
2910 N EASTMAN RD, Longview, TX 75605

Other Names 1

Doing Business AsColonial Village

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 Colonial Village Lv Property, Ltd's NPI number?

The NPI number for Colonial Village Lv Property, Ltd is 1285852798. It was assigned to this organization in the NPPES registry on April 22, 2007. The provider is doing business as Colonial Village.

Where is Colonial Village Lv Property, Ltd located?

Colonial Village Lv Property, Ltd is located at 2910 N Eastman Rd, Longview, TX 75605. The listed phone number is (903) 758-6332.

What is Colonial Village Lv Property, Ltd's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Colonial Village Lv Property, Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.