Colonnade Senior Development, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COLONNADE SENIOR DEVELOPMENT, LLC

Doing business as

Colonnade Senior Living

Practice address

700 Weber Rd
O Fallon, IL 62269-2215

Phone

(618) 624-6000

NPI assigned

Sep 2, 2020

Last updated

Sep 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan R Levey

Title

Managing Member

Phone

(213) 705-9397

Specialties & licenses 1

Addresses

Other names 1

• Colonnade Senior Living Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1548874951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WEBER RD",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692215",
            "telephone_number": "618-624-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WEBER RD",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692215",
            "telephone_number": "618-624-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONNADE SENIOR DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "LEVEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "213-705-9397",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.colonnadeseniorliving.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "700 Weber Rd",
            "city": "O Fallon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622692215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Colonnade Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn Coleman
• Jennifer Maria Coleman, LCSW
• Darcie Collico, PT
• Camryn Kristin Collins-Vaughn
• Demingo Collins
• Martin J Conaughty, HIS
• Luke McKenzie Conklin
• Mason Connolly, D.C.
• Elizabeth Conroy
• Veronica Minerva Contasti, MD

• Assisted Living Facility in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.