COLONIAL GARDENS OF AUSTIN A-1
NPI 1700318722
Assisted Living Facility in Austin, TX

Active since March 29, 2017CLIA Certified · 2 labs
3700 ADELPHI LN, AUSTIN, TX 78727(512) 833-0114(512) 833-3235 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 11, 2021, Mar 29, 2017 (2 updates tracked since 2017).

About Colonial Gardens Of Austin A-1 NPPES

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

COLONIAL GARDENS OF AUSTIN A-1 (NPI 1700318722) is a healthcare organization registered as an assisted living facility in Austin, Texas and active in the NPI registry since March 2017. The organization holds 2 active CLIA laboratory certificates and lists Ronald R Payne, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700318722
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOUTHWEST LTC - AUSTIN ALF, LLC
Location Address3700 ADELPHI LNAustin, TX 78727-5308
Mailing Address5560 Tennyson Pkwy Ste 210Plano, TX 75024-3582 · (469) 916-6100 · Fax (469) 916-6105
Fax(512) 833-3235
Organization SubpartNo
Authorized OfficialRonald R PayneCeo · (469) 916-6100
Enumeration DateMarch 29, 2017
Last NPPES UpdateNovember 11, 20212 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
NPI 1700318722 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.

3700 ADELPHI LN, Austin, TX 78727

Other Names 1

Doing Business AsColonial Gardens Of Austin A-1

CLIA Laboratory Certificates CMS CLIA 2

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 45D2206152

Colonial Gardens Of Austin A-1 · Austin, TX
Active · expires Dec 16, 2026
CLIA Number45D2206152
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorOpaal Banks
Laboratory Phone(512) 833-0114
Laboratory LocationColonial Gardens Of Austin A-13700 Adelphi Lane, Austin, TX 78727
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2206172

Colonial Gardens Of Austin A-2 · Austin, TX
Active · expires Dec 16, 2026
CLIA Number45D2206172
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorOpaal Banks
Laboratory Phone(512) 833-0114
Laboratory LocationColonial Gardens Of Austin A-23706 Adelphi Lane, Austin, TX 78727
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700318722, enumerated as an "organization" on March 29, 2017.

The provider is located at 3700 ADELPHI LN AUSTIN, TX 78727 and the phone number is (512) 833-0114.

Assisted Living Facility with taxonomy code 310400000X.