Organization Active NPI

Alf Phillippe Ridge

  • Assisted Living Facility
  • Safety Harbor, FL
National Provider Identifier
1154966992
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ALF PHILLIPPE RIDGE
Practice address
1055 Phillippe Pkwy
Safety Harbor, FL 34695-2620
Phone
(727) 726-3632
NPI assigned
Nov 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Michelle L Colemen
Title
Administrator
Phone
(727) 726-3632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1055 Phillippe Pkwy
Safety Harbor, FL 34695-2620

Mailing address

1055 Phillippe Pkwy
Safety Harbor, FL 34695-2620
Phone (727) 726-3632

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2204510Alf Phillippe Ridge1055 Phillippe Pkwy, Safety Harbor, FL 34695Certificate of waiverDec 8, 2026

National Provider Directory

National Provider Directory

Locations

1055 Philippe Pkwy
Safety Harbor, FL 34695
Phone (727) 726-3632

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1154966992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 PHILLIPPE PKWY",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346952620",
            "telephone_number": "727-726-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 PHILLIPPE PKWY",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346952620",
            "telephone_number": "727-726-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALF PHILLIPPE RIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "COLEMEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-726-3632"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.