Organization Active NPI

Wellness Center of Trinity, LLC

Doing business as The Waverly

  • Assisted Living Facility
  • Trinity, FL
National Provider Identifier
1750146189
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WELLNESS CENTER OF TRINITY, LLC
Doing business as
The Waverly
Practice address
9309 Mercy Way
Trinity, FL 34655-4428
Phone
(727) 999-5665
Fax
(727) 955-9665
NPI assigned
Feb 15, 2024
Last updated
Feb 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Roland Byron Richards, LPN
Title
Executive Director
Phone
(727) 999-5665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9309 Mercy Way
Trinity, FL 34655-4428

Mailing address

5901 US Highway 19 Ste 7
New Port Richey, FL 34652-2940
Phone (727) 859-9119

Other names 1

  • The Waverly Doing business as

National Provider Directory

National Provider Directory

Locations

9309 Mercy Way
Trinity, FL 34655
Phone (727) 999-5665

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1750146189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 US HIGHWAY 19 STE 7",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522940",
            "telephone_number": "727-859-9119",
            "fax_number": "727-859-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 MERCY WAY",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554428",
            "telephone_number": "727-999-5665",
            "fax_number": "727-955-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTER OF TRINITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "BYRON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "727-999-5665",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Waverly",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trinity, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.