BRASWELL'S COLONIAL CARE
NPI 1780671172
Skilled Nursing Facility in Redlands, CA

Active since September 30, 2005CLIA 05D0862124 · Waiver
1618 LAUREL AVE, REDLANDS, CA 92373(909) 792-6050(909) 798-8341 Get Directions Write a Review

NPPES record last updated: February 28, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Braswell's Colonial Care NPPES

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

BRASWELL'S COLONIAL CARE (NPI 1780671172) is a healthcare organization registered as a skilled nursing facility in Redlands, California and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists James H. Braswell, President, as its authorized official.

NPPES Registry Identity

NPI1780671172
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBRASWELLS COLONIAL CARE OF REDLANDS
Location Address1618 LAUREL AVERedlands, CA 92373-4838
Mailing Address1618 Laurel AveRedlands, CA 92373-4838 · (909) 792-6050 · Fax (909) 798-8341
Fax(909) 798-8341
Organization SubpartNo
Authorized OfficialJames H. BraswellPresident · (909) 795-3821
Enumeration DateSeptember 30, 2005
Last NPPES UpdateFebruary 28, 2014
NPI 1780671172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 240000307
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.
1618 LAUREL AVE, Redlands, CA 92373

Other Names 1

Doing Business AsBraswell's Colonial Care

Other Identifiers 2

MedicaidLTC55350FCA
Medicare OSCAR/certification555350CA

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 05D0862124

Braswell Colonial Care · Redlands, CA
Active · expires Aug 31, 2028
CLIA Number05D0862124
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorJames Larsen MD
Laboratory Phone(909) 792-6050
Laboratory LocationBraswell Colonial Care1618 Laurel Street, Redlands, CA 92373
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Physician Assistant (Medical)
1618 LAUREL AVE
REDLANDS, CA 92373
Skilled Nursing Facility
1618 LAUREL AVE
REDLANDS, CA 92373
Physical Therapy Assistant
1618 LAUREL AVE
REDLANDS, CA 92373

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 Braswells Colonial Care Of Redlands's NPI number?

The NPI number for Braswells Colonial Care Of Redlands is 1780671172. It was assigned to this organization in the NPPES registry on September 30, 2005. The provider is doing business as Braswell's Colonial Care.

Where is Braswells Colonial Care Of Redlands located?

Braswells Colonial Care Of Redlands is located at 1618 Laurel Ave, Redlands, CA 92373. The listed phone number is (909) 792-6050.

What is Braswells Colonial Care Of Redlands's specialty?

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

Does Braswells Colonial Care Of Redlands hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0862124) is associated with this NPI, valid through August 31, 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 Braswells Colonial Care Of Redlands was last updated on February 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.