THE COLONNADE AT NORTHDALE
NPI 1558908855
Assisted Living Facility in Tampa, FL

Active since December 05, 2019CLIA 10D0961539 · Waiver
3401 W BEARSS AVE, TAMPA, FL 33618(813) 961-1044 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

About The Colonnade At Northdale NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE COLONNADE AT NORTHDALE (NPI 1558908855) is a healthcare organization registered as an assisted living facility in Tampa, Florida and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Seth Walker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1558908855
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSH NORTHDALE, LLC
Location Address3401 W BEARSS AVETampa, FL 33618-2143
Mailing Address2573 Barrington CirTallahassee, FL 32308-6805
Organization SubpartNo
Authorized OfficialSeth WalkerCfo · (850) 583-7990
Enumeration DateDecember 5, 2019
Last NPPES UpdateFebruary 26, 20202 updates tracked since enumeration
NPI 1558908855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
3401 W BEARSS AVE, Tampa, FL 33618

Other Names 1

Doing Business AsThe Colonnade At Northdale

Other Identifiers 2

Medicaid104709900FL
Other9500FL · Alf License

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0961539

The Colonnade At Northdale · Tampa, FL
Active · expires Jun 8, 2027
CLIA Number10D0961539
Laboratory TypeOther
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorMaryann Perkins
Laboratory Phone(813) 961-1044
Laboratory LocationThe Colonnade At Northdale3401 Bearss Ave, Tampa, FL 33618
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
3401 W BEARSS AVE
TAMPA, FL 33618
Speech-Language Pathologist
3401 W BEARSS AVE
TAMPA, FL 33618
Assisted Living Facility
3401 W BEARSS AVE
TAMPA, FL 33618
Speech-Language Pathologist
3401 W BEARSS AVE
TAMPA, FL 33618
Assisted Living Facility
3401 W BEARSS AVE
TAMPA, FL 33618

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sh Northdale, LLC's NPI number?

The NPI number for Sh Northdale, LLC is 1558908855. It was assigned to this organization in the NPPES registry on December 5, 2019. The provider is doing business as The Colonnade At Northdale.

Where is Sh Northdale, LLC located?

Sh Northdale, LLC is located at 3401 W Bearss Ave, Tampa, FL 33618. The listed phone number is (813) 961-1044.

What is Sh Northdale, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Sh Northdale, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0961539) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sh Northdale, LLC was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.