Colandtal Enterprises, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COLANDTAL ENTERPRISES, INC

Doing business as

ComForcare Senior Services - NW Hillsborough

Practice address

5121 Ehrlich Rd
BLDG 101, Suite G
Tampa, FL 33624-2015

Phone

(813) 269-2273

Fax

(813) 269-2283

NPI assigned

May 19, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Collin De Gourville

Title

President

Phone

(813) 269-2273

Specialties & licenses 1

Addresses

Other names 1

• ComForcare Senior Services - NW Hillsborough Doing business as

Locations

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1790910792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341123",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336941123",
            "telephone_number": "813-269-2273",
            "fax_number": "813-269-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 EHRLICH RD",
            "address_2": "BLDG 101, SUITE G",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242015",
            "telephone_number": "813-269-2273",
            "fax_number": "813-269-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLANDTAL ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "DE GOURVILLE",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-269-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare Senior Services - NW Hillsborough",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anissa M Coker, CRNA
• Barbra Bush Coker, NP-C
• Mackenzi Coker
• Cathy Colacini
• Maryanne Colalillo, M.D.
• Haylee Gold Colannino, MS, RD
• Cheryl Lynn Colantonio, COTA
• Jeffrey Colas, MSN, APRN, FNP-C
• Colasurdo Family Eyecare Inc.
• Catelin Alexandra Colato

• In Home Supportive Care Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.