Colonial Manor – Skilled Nursing Facility, NPI 1093706830

Colonial Manor is a healthcare provider. based in Bloomington, Illinois. specializing in Skilled Nursing Facility. The organization holds a License No. 0042168 (IL). The NPI Number for Colonial Manor is 1093706830

Main info

Organization
Name
Colonial Manor
NPI
1093706830
Phone
(309) 828-4361
Address
115 W JEFFERSON ST
Authorized Official
MR. DAVID M UNDERWOOD SENIOR V.P. & CFO
Enumeration Date
1 November 2005
Last Update Date
29 January 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Colonial Manor

  • 115, West Jefferson Street, Bloomington, McLean County, Illinois, 61701, United States

    SUITE 401

    BLOOMINGTON, IL 617013946

    Phone: (309) 828-4361

    Fax: (309) 829-9512

    Type: Mailing

  • 620, Warrington Avenue, Vermilion Heights, Danville, Vermilion County, Illinois, 61832, United States

    DANVILLE, IL 618325446

    Phone: (217) 446-0660

    Fax: (217) 446-9839

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61701)

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Reviews

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Frequently asked questions

Can I verify Colonial Manor with an NPI only?
You can start verification with NPI 1093706830 for Colonial Manor, then check state licensing separately.
Does the file indicate Colonial Manor is practicing under active NPI?
Directory data currently reports Colonial Manor as active.
What is Colonial Manor's specialty?
The listing groups Colonial Manor with Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Does Colonial Manor list a practice location?
Patients near Bloomington, Illinois may find Colonial Manor in results; validate coverage separately.
Why does Colonial Manor have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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