Concordis Alf Tampa LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CONCORDIS ALF TAMPA LLC

Practice address

12110 Morris Bridge Rd
Temple Terrace, FL 33637-1924

Phone

(813) 694-2153

Fax

(512) 420-9276

NPI assigned

Mar 25, 2025

Organization subpart

No

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

Authorized official

Name

Sarah Fallon

Title

Accounting

Phone

(352) 207-7873

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1720880438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 JEFFERSON ST STE 317",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316225",
            "telephone_number": "352-229-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 MORRIS BRIDGE RD",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336371924",
            "telephone_number": "813-694-2153",
            "fax_number": "512-420-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIS ALF TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "FALLON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "ACCOUNTING",
        "authorized_official_telephone_number": "352-207-7873"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125681400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kennedy Coleman
• Devin William Collins, DO
• Heather Colome, ARNP
• Veronica Colon, RN
• Compound MD Inc
• William Marshall Cone, O.D.
• Lori Cook, OT
• Ashanti Corbin
• Chloe Liz Cordero
• Alandra Lashae Coure, BSAT, ATC

• Assisted Living Facility in Temple Terrace, FL
• Providers in Temple Terrace, 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 25, 2025; 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.