Colliers at Countryside Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COLLIERS AT COUNTRYSIDE OPCO, LLC

Practice address

3141 N McMullen Booth Rd
Clearwater, FL 33761-2035

Phone

(813) 447-9260

NPI assigned

Jul 7, 2025

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

Ceo

Phone

(813) 447-9260

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1841180445",
    "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": "3141 N MCMULLEN BOOTH RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612035",
            "telephone_number": "813-447-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIERS AT COUNTRYSIDE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-06",
        "status": "A",
        "authorized_official_last_name": "SEGUI",
        "authorized_official_first_name": "ALCIDES",
        "authorized_official_title_or_position": "CEO",
        "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": []
}

• Frances Collado, CRNA
• Laura Collazo Lopez, BCBA
• Colleen Niedzwiecki, MD, PA
• Dennis L College, M.D.
• Robert Collewijn, PT
• Abbey Swan Collins
• Eddie Lee Collins Jr., LMHC
• Jennifer S Collins, PA
• Melissa A Collins
• Sandra Lowry Collins, APRN

• Assisted Living Facility in Clearwater, FL
• Providers in Clearwater, 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 Jul 7, 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.