Active NPI
Wellness Center of Trinity, LLC
Doing business as The Waverly
- Assisted Living Facility
- Trinity, FL
National Provider Identifier
1750146189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.