THE COLONNADE AT CARROLLWOOD
NPI 1194362491
Assisted Living Facility in Tampa, FL

Active since December 05, 2019
13550 S VILLAGE DR, TAMPA, FL 33618(813) 908-5300 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 26, 2020, Dec 5, 2019 (2 updates tracked since 2019).

  • Organization
  • Assisted Living Facility

About THE COLONNADE AT CARROLLWOOD

This page provides the complete NPI Profile along with additional information for The Colonnade At Carrollwood, a provider established in Tampa, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1194362491 assigned on December 2019. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as The Colonnade At Carrollwood. The authorized official of this NPI record is Seth Walker (Cfo)

NPI
1194362491 Verify this NPI
Provider Legal Name
SH CARROLLWOOD, LLC
Other Organization Name
THE COLONNADE AT CARROLLWOOD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
13550 S VILLAGE DR TAMPA, FL 33618
Location Phone
(813) 908-5300
Mailing Address
2573 BARRINGTON CIR TALLAHASSEE, FL 32308
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2019
Last Update Date
02-26-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SETH WALKER

Authorized Official Title
CFO
Authorized Official Phone
(850) 583-7990

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
104709800MEDICAID (05)FL 
9134OTHER (01)FLALF LICENSE

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
13550 S VILLAGE DR
TAMPA, FL 33618

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194362491, enumerated as an "organization" on December 05, 2019.

The provider is located at 13550 S VILLAGE DR TAMPA, FL 33618 and the phone number is (813) 908-5300.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.