Healthcare Provider Details

I. General information

NPI: 1750296372
Provider Name (Legal Business Name): TAMPA BAY ASSISTED LIVING, LLC (DBA SERENITY POINTE)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38906 NORTH AVE
ZEPHYRHILLS FL
33542-3820
US

IV. Provider business mailing address

38906 NORTH AVE
ZEPHYRHILLS FL
33542-3820
US

V. Phone/Fax

Practice location:
  • Phone: 813-937-6543
  • Fax:
Mailing address:
  • Phone: 813-937-6543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. OMNI CASEY
Title or Position: MANAGER
Credential:
Phone: 703-725-5279