Active NPI
Serenity Life Adult Day Care Center Inc
- Adult Day Care Clinic/Center
- Tampa, FL
National Provider Identifier
1023435492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 9347
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Serenity & Therapy, LLC (Serenity Rehabilitation Services)
- Serenity Community Care Inc.
- Serenity Community Care Inc.
- Serenity Community Mental Health Center, LLC
- Serenity Home of Tampa Alf LLC
- Serenity Life Health Support LLC (Serenity Homemaker and Companion Services)
- Serenity Medical Group LLC
- Serenity Mental Health Specialists LLC
- Serenity Shore Wellness LLC
- Serenity Suites LLC (The Well Transportation)
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.