COLONIAL RESIDENTIAL CARE FACILITY II
NPI 1518095223
Assisted Living Facility in Bismarck, MO

Q: What is Colonial Retirement Center Inc.'s NPI number?

The NPI number for Colonial Retirement Center Inc. is 1518095223. It was assigned to this organization in the NPPES registry on March 2, 2007. The provider is doing business as Colonial Residential Care Facility II.

Q: What is Colonial Retirement Center Inc.'s specialty?

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

Active since March 02, 2007CLIA 26D0939096 · Waiver

1162 CEDAR STREET, BISMARCK, MO 63624(573) 734-2846(573) 734-2008 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Colonial Residential Care Facility Ii NPPES

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

COLONIAL RESIDENTIAL CARE FACILITY II (NPI 1518095223) is a healthcare organization registered as an assisted living facility in Bismarck, Missouri and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 20, 2028 and lists Ronald Lynn Conway, Administrator, as its authorized official.

NPPES Registry Identity

NPI1518095223

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCOLONIAL RETIREMENT CENTER INC.

Location Address1162 CEDAR STREETBismarck, MO 63624-0727

Mailing Address1162 Cedar Street, P.o.box 727Bismarck, MO 63624-0727 · (573) 734-2846 · Fax (573) 734-2008

Phone(573) 734-2846

Fax(573) 734-2008

Organization SubpartNo

Authorized OfficialRonald Lynn ConwayAdministrator · (573) 734-2846

Enumeration DateMarch 2, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1518095223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in MO · 032375

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.

1162 CEDAR STREET, Bismarck, MO 63624

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Other Names 1

Doing Business AsColonial Residential Care Facility Ii

Other Identifiers 1

Medicaid2667449911MS

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0939096

Colonial Residential Care II · Bismarck, MO

Active · expires Jan 20, 2028

CLIA Number26D0939096

Laboratory TypeRes Care Kk

Certificate Effective DateJanuary 21, 2026

Certificate Expiration DateJanuary 20, 2028

Laboratory DirectorBrooke M. Bigham

Laboratory Phone(417) 425-3062

Laboratory LocationColonial Residential Care II1162 Cedar Street, Bismarck, MO 63624

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

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 Retirement Center Inc.'s NPI number?

The NPI number for Colonial Retirement Center Inc. is 1518095223. It was assigned to this organization in the NPPES registry on March 2, 2007. The provider is doing business as Colonial Residential Care Facility II.

Where is Colonial Retirement Center Inc. located?

Colonial Retirement Center Inc. is located at 1162 Cedar Street, Bismarck, MO 63624. The listed phone number is (573) 734-2846.

What is Colonial Retirement Center Inc.'s specialty?

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

Does Colonial Retirement Center Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0939096) is associated with this NPI, valid through January 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Colonial Retirement Center Inc. 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.