Organization Active NPI

Stratum Life, LLC

  • PACE Provider Organization
  • Bradenton, FL
National Provider Identifier
1336925106
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
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

Updated by the provider on Jan 28, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.