=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386581502
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COLONIAL HEALTHCARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/04/2026
-----------------------------------------------------
Last Update Date | 05/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 201 BUCKEYE ST
-----------------------------------------------------
City | ROCKFORD
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45882-9266
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-381-4923
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 2663
-----------------------------------------------------
City | HICKORY
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28603-2663
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-381-4923
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. MELVIN E WOODWARD JR.
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 828-381-4923
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------