Collier at Tyrone, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COLLIER AT TYRONE, LLC

Practice address

1701 68TH St N
St Petersburg, FL 33710-8744

Phone

(813) 447-9260

NPI assigned

Mar 21, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Alcides Segui Sr.

Title

Coo

Phone

(813) 447-9260

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1447010731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E BEARSS AVE STE 333",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131625",
            "telephone_number": "813-447-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 68TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108744",
            "telephone_number": "813-447-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER AT TYRONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "SEGUI",
        "authorized_official_first_name": "ALCIDES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "813-447-9260",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Euly Andrea Coll de Gomez
• Collaborative Counseling Services, PLLC
• Sherley Collado Justinano, MD
• Hector Collazo-Ramis, MD
• Murray N Collector, D.C.
• Angela Eleanor Collina, D.O.M., A.P.
• Cecelie Collins
• Juliet Soscia Collins, M.D.
• Kenneth Christopher Collins, PA-C
• Kimberly Renee Collins, M.D.

• Assisted Living Facility in St Petersburg, FL
• Providers in St Petersburg, 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 Mar 21, 2024; 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.