SCC OF COLONIAL OAKS REHABILITATION CENTER
NPI 1699156513
Skilled Nursing Facility in Bossier City, LA

Active since June 16, 2015
4921 MEDICAL DR, BOSSIER CITY, LA 71112(318) 742-5420(318) 742-5420 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2020, Dec 7, 2018, Aug 12, 2016 (3 updates tracked since 2016).

About Scc Of Colonial Oaks Rehabilitation Center NPPES

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

SCC OF COLONIAL OAKS REHABILITATION CENTER (NPI 1699156513) is a healthcare organization registered as a skilled nursing facility in Bossier City, Louisiana and active in the NPI registry since June 2015. The organization lists Michael Beal, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1699156513
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOLONIAL SCC LLC
Location Address4921 MEDICAL DRBossier City, LA 71112-4522
Mailing Address600 N Pearl St, Suite 1100Dallas, TX 75201-2822 · (214) 252-7600 · Fax (214) 252-7704
Fax(318) 742-5420
Organization SubpartNo
Authorized OfficialMichael BealChief Executive Officer · (214) 252-7600
Enumeration DateJune 16, 2015
Last NPPES UpdateMarch 3, 20203 updates tracked since enumeration
NPPES CertifiedMarch 3, 2020
NPI 1699156513 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 AsScc Of Colonial Oaks Rehabilitation Center

Other Identifiers 2

Medicaid1510688LA
Other19-5604LA · Medicare Part A

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 Colonial Scc LLC's NPI number?

The NPI number for Colonial Scc LLC is 1699156513. It was assigned to this organization in the NPPES registry on June 16, 2015. The provider is doing business as Scc Of Colonial Oaks Rehabilitation Center.

Where is Colonial Scc LLC located?

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

What is Colonial Scc LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Colonial Scc LLC was last updated on March 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.