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Pmg Opco-Colonial LLC

Skilled Nursing Facility in Bossier City, LA · enumerated 2019 · authorized official Steven Boulware, Managing Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124589544

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Registry record

Entity type Organization (Type 2)
Legal business name Pmg Opco-Colonial LLC
Practice address 4921 Medical Dr, Bossier City, LA, 71112
Phone (318) 742-5420
Fax (318) 742-8887
Enumeration date Mar 28, 2019
Last updated in NPPES Mar 28, 2019

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Steven Boulware
Title Managing Member
Phone (972) 428-0900

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Pmg Opco-Colonial LLC?
Pmg Opco-Colonial LLC is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-03-28.