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

Colonial Scc LLC

Organization Skilled Nursing Facility · NPI 1699156513

Colonial Scc LLC is a Skilled Nursing Facility in Bossier City, Louisiana. Registered with an NPI since 2015.

In the registry since
2015
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

4921 Medical Dr
Bossier City, LA 71112-4522
Phone: (318) 742-5420
Fax: (318) 742-5420
Show map & directions

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1699156513
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Beal — Chief Executive Officer · (214) 252-7600
Other names Scc Of Colonial Oaks Rehabilitation Center; Scc Of Colonial Oaks Rehabilitation Center
NPI enumeratedJune 16, 2015
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020
Mailing address600 N Pearl St, Suite 1100, Dallas, TX 75201-2822

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