Colonial Scc LLC
Colonial Scc LLC is a healthcare organization registered as Skilled Nursing Facility in Bossier City, LA, holding Type 2 (organization) NPI 1699156513 since 2015. The authorized official on file is Michael Beal, Chief Executive Officer.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1699156513 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Colonial Scc LLC |
| Other name | <Unavail> |
| Practice address | 4921 MEDICAL DR, Bossier City, LA, 71112 |
| Phone | 3187425420 |
| Fax | 3187425420 |
| Enumeration date | 2015-06-16 |
| Last updated in NPPES | 2020-03-03 |
Authorized official
| Name | Michael Beal |
|---|---|
| Title | Chief Executive Officer |
| Phone | 2142527600 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1510688 | Medicaid | LA | — |
| 19-5604 | Other | LA | MEDICARE PART A |
Copy-ready billing details
Provider: Colonial Scc LLC NPI: 1699156513 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 4921 MEDICAL DR, Bossier City, LA, 71112
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1518909886 | Colonial Oaks Guest Care Center, LLC | Organization | Skilled Nursing Facility | Bossier City, LA |
| 1124589544 | Pmg Opco-Colonial LLC | Organization | Skilled Nursing Facility | Bossier City, LA |
Verify this record
Cross-check NPI 1699156513 against the authoritative CMS record: view Colonial Scc 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
Who is the authorized official for Colonial Scc LLC?
What is the NPI number for Colonial Scc LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-03-03.