Organization Active NPI

Eagle Adult Wellness Center LLC

  • Adult Day Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1649064106
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
EAGLE ADULT WELLNESS CENTER LLC
Practice address
7519 Paula Dr
Tampa, FL 33615-4113
Phone
(813) 397-1311
NPI assigned
Apr 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Merlys Gutierrez
Title
President
Phone
(813) 397-1311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

7519 Paula Dr
Tampa, FL 33615-4113

Mailing address

7519 Paula Dr
Tampa, FL 33615-4113

National Provider Directory

National Provider Directory

Locations

6402 N Armenia Ave
Tampa, FL 33604

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1649064106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7519 PAULA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7519 PAULA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154113",
            "telephone_number": "813-397-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE ADULT WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "MERLYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-397-1311"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.