Active NPI
Stratum Life, LLC
- PACE Provider Organization
- Bradenton, FL
National Provider Identifier
1336925106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- STRATUM LIFE, LLC
- Practice address
- 4144 20TH St W
Bradenton, FL 34205-5001 - Phone
- (941) 248-1550
- NPI assigned
- Sep 6, 2023
- 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
- Saida Bouhamid
- Title
- Cfo
- Phone
- (941) 552-7500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | Primary | ||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Health Maintenance Organization | 302R00000X |
Addresses
Primary practice location
4144 20TH St W
Bradenton, FL 34205-5001
Mailing address
6310 Capital Dr
Lakewood Ranch, FL 34202-5013
Other practice location 1
5955 Rand Blvd
Sarasota, FL 34238-5160
Phone (941) 552-7500
National Provider Directory
National Provider DirectoryLocations
4144 20th St W
Bradenton, FL 34205
Phone (941) 260-7804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738022400000",
"number": "1336925106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6310 CAPITAL DR",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342025013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4144 20TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342055001",
"telephone_number": "941-248-1550"
}
],
"practiceLocations": [
{
"address_1": "5955 Rand Blvd",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342385160",
"country_code": "US",
"telephone_number": "941-552-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "STRATUM LIFE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-06",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A",
"authorized_official_last_name": "BOUHAMID",
"authorized_official_first_name": "SAIDA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "941-552-7500"
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.