Organization Active NPI

Prestige Senior Lifestyle Services, LLC

  • Clinic/Center
  • Wimauma, FL
National Provider Identifier
1376455055
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PRESTIGE SENIOR LIFESTYLE SERVICES, LLC
Practice address
15009 Emerson Field St
Wimauma, FL 33598-4475
Phone
(813) 802-3325
NPI assigned
Sep 18, 2026
Last updated
Sep 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Gina Torres
Title
Owner/Administrator
Phone
(813) 802-3325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

15009 Emerson Field St
Wimauma, FL 33598-4475

Mailing address

15009 Emerson Field St
Wimauma, FL 33598-4475
Phone (813) 802-3325

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1376455055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15009 EMERSON FIELD ST",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335984475",
            "telephone_number": "813-802-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15009 EMERSON FIELD ST",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335984475",
            "telephone_number": "813-802-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE SENIOR LIFESTYLE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "813-802-3325"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wimauma, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.