Serenity Life Wellness Center, LLC

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

Legal business name

SERENITY LIFE WELLNESS CENTER, LLC

Practice address

4903 Mark CT
North Ridgeville, OH 44039-1753

Phone

(407) 797-7298

Fax

(407) 386-0032

NPI assigned

Sep 26, 2023

Organization subpart

No

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

Authorized official

Name

Oswaldo J Perez, MS LMHC QSNPI 1306266879

Title

C.E.O.

Phone

(407) 946-0093

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oswaldo Jose Perez, MS LMHC QS

  • Mental Health Counselor
  • Kissimmee, FL
  • NPI 1306266879

  OH

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1649059957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 MARK CT",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440391753",
            "telephone_number": "407-797-7298",
            "fax_number": "407-386-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 MARK CT",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440391753",
            "telephone_number": "407-797-7298",
            "fax_number": "407-386-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY LIFE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "OSWALDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "407-946-0093",
        "authorized_official_credential": "MS LMHC QS"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Sardo
• Elizabeth Scheiner, M.A.
• April Mary Schmitz, MT
• Trevor Norman Schroeder, DO
• Sandra Therese Schydzik
• Marika Ann Serhane
• Leslie A Shaw, RD, LD, PA-C
• Corey Shingleton, M.ED.
• Alexandria Nicole Sikora
• Denise Marie Sklenicka

• Addiction Medicine (Preventive Medicine) Physician in North Ridgeville, OH
• Providers in North Ridgeville, OH by specialty
• Addiction Medicine (Preventive Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.