Colonial Assisted Living Tampa LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COLONIAL ASSISTED LIVING TAMPA LLC

Practice address

11722 N 17TH St
Tampa, FL 33612-5434

Phone

(727) 697-9920

NPI assigned

Jan 13, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Shlomo Greenstein

Title

Managing Director

Phone

(727) 697-9920

Specialties & licenses 1

Addresses

Other names 1

• Colonial Assisted Living Tampa Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1134718299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 AVENUE J FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103838",
            "telephone_number": "727-697-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11722 N 17TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125434",
            "telephone_number": "727-697-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL ASSISTED LIVING TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "GREENSTEIN",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "727-697-9920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Assisted Living Tampa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Esteban Colon Jr.
• Ivelisse Colon
• Joshua Alexander Colon, MD
• Marytzabeth Colon, LMT
• Yolanda Colon, ARNP
• Colowell America LLC
• Kim R Colston, RPH
• Jennifer Colton, LCSW
• Sue Hellen Coltrain, APRN-C
• Diana R Columbi, RBT

• Assisted Living Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.