Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colonial Manor I LLC

Organization Assisted Living Facility (Mental Illness) · NPI 1013720283

Colonial Manor I LLC is an Assisted Living Facility (Mental Illness) in Shelbyville, Kentucky. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

920 Henry Clay St
Shelbyville, KY 40065-1333
Phone: (516) 708-3503
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X

Record details

NPI number1013720283
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raquel Edery — Coo · (516) 708-3503
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing address455 Central Ave Ste 215, Cedarhurst, NY 11516-2008