Organization Active NPI

Serenity Life Adult Day Care Center Inc

  • Adult Day Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1023435492
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
9347 Issued in FL
Legal business name
SERENITY LIFE ADULT DAY CARE CENTER INC
Practice address
5625 W Waters Ave Ste G
Tampa, FL 33634-1226
Phone
(813) 888-1200
Fax
(813) 882-4830
NPI assigned
Mar 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Yvonne Wong
Title
Administrator
Phone
(813) 888-1200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X
Adult Day Care Clinic/Center 261QA0600X 9347 FL Primary

Addresses

Primary practice location

5625 W Waters Ave Ste G
Tampa, FL 33634-1226

Mailing address

5625 W Waters Ave Ste G
Tampa, FL 33634-1226
Phone (813) 888-1200

National Provider Directory

National Provider Directory

Locations

5625 W Waters Ave
Ste G
Tampa, FL 33634
Phone (813) 888-1200

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023435492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 W WATERS AVE STE G",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341226",
            "telephone_number": "813-888-1200",
            "fax_number": "813-882-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 W WATERS AVE STE G",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341226",
            "telephone_number": "813-888-1200",
            "fax_number": "813-882-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY LIFE ADULT DAY CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-888-1200"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.