Colonial Manor Ltc, LLC
Colonial Manor Ltc, LLC is a healthcare organization registered as Skilled Nursing Facility in Canton, OH, holding Type 2 (organization) NPI 1164411187 since 2005. The authorized official on file is Michael Slyk, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164411187 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Colonial Manor Ltc, LLC |
| Other name | <Unavail> |
| Practice address | 1528 MARKET AVE N, Canton, OH, 44714 |
| Phone | 3304538466 |
| Fax | 3304531424 |
| Enumeration date | 2005-10-21 |
| Last updated in NPPES | 2025-09-11 |
Authorized official
| Name | Michael Slyk |
|---|---|
| Title | President |
| Phone | 3304243721 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 313M00000X | Nursing Facility/Intermediate Care Facility | Secondary | 3620 | OH |
| 314000000X | Skilled Nursing Facility | Primary | 3620 | OH |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0177544 | Medicaid | OH | — |
| 2635938 | Medicaid | OH | — |
Copy-ready billing details
Provider: Colonial Manor Ltc, LLC NPI: 1164411187 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1528 MARKET AVE N, Canton, OH, 44714
Verify this record
Cross-check NPI 1164411187 against the authoritative CMS record: view Colonial Manor Ltc, LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Colonial Manor Ltc, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.