Columbia Crest Construction, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COLUMBIA CREST CONSTRUCTION, LLC

Practice address

3909 Reserve Dr
Ste 2818
Tallahassee, FL 32311-8200

Phone

(850) 591-1350

Fax

(850) 807-2585

NPI assigned

Aug 11, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Erik E Brown

Title

Sole MBR

Phone

(850) 591-1350

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1344643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344643200000",
    "number": "1669729406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 RESERVE DR",
            "address_2": "STE 2818",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323118200",
            "telephone_number": "850-591-1350",
            "fax_number": "850-807-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 RESERVE DR",
            "address_2": "STE 2818",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323118200",
            "telephone_number": "850-591-1350",
            "fax_number": "850-807-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA CREST CONSTRUCTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-11",
        "last_updated": "2012-08-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "850-591-1350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter E. Colon II, D.M.D.,M.S.DIPLOMATE
• Colorful Journey Telepsychiatry, L.L.C.
• Dwight Colson
• Katya Marie Colston, PT, DPT
• Rowena Barney Colston, RPH
• Kay Colvin-Guthrie, PHD
• Collin Colwell
• Madinah English Combs
• Come N Sense Play and Therapy
• Melissa Comeau, ED.S., M.S., NCC

• Skilled Nursing Facility in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2012; 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.