NPIMap

Organization Active NPI

Success Care Services, LLC

  • Assisted Living Facility
  • Wesley Chapel, FL
National Provider Identifier
1790393536
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SUCCESS CARE SERVICES, LLC
Practice address
1146 Timber Trace Dr
Wesley Chapel, FL 33543-6502
Phone
(813) 850-4970
Fax
(813) 991-5071
NPI assigned
Jul 17, 2020
Organization subpart
Yes
Parent organization
SUCCESS CARE SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Olumuyiwa Adeoyin
Title
Administrator
Phone
(813) 850-1854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1146 Timber Trace Dr
Wesley Chapel, FL 33543-6502

Mailing address

1146 Timber Trace Dr
Wesley Chapel, FL 33543-6502
Phone (813) 850-4970

Other names 1

  • SUCCESS CARE 11 Other name

National Provider Directory

National Provider Directory
Tax ID family
Success Care Services LLC2 organizations share this tax ID, including this one
Part of
Success Care Services LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1790393536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 TIMBER TRACE DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335436502",
            "telephone_number": "813-850-4970",
            "fax_number": "813-991-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 TIMBER TRACE DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335436502",
            "telephone_number": "813-850-4970",
            "fax_number": "813-991-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS CARE SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUCCESS CARE SERVICES LLC",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "ADEOYIN",
        "authorized_official_first_name": "OLUMUYIWA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-850-1854"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUCCESS CARE 11",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.