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CAMILLA BRIDGEMAN
NPI 1205277407
Residential Treatment Facility, Physical Disabilities in St Petersburg, FL

Active since July 16, 2013
943 62ND TER S, ST PETERSBURG, FL 33705(727) 906-9405(727) 906-9405 Get Directions Write a Review

NPPES record last updated: July 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Camilla Bridgeman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMILLA BRIDGEMAN (NPI 1205277407) is a healthcare organization registered as a residential treatment facility, physical disabilities in St Petersburg, Florida and active in the NPI registry since July 2013. The organization lists Camilla Lee Bridgeman, Owner, as its authorized official.

NPPES Registry Identity

NPI1205277407
Entity TypeOrganization
Primary Taxonomy320700000X
Legal Business NameSERENITY HOUSE AFCH
Location Address943 62ND TER SSt Petersburg, FL 33705-5818
Mailing Address943 62nd Terrace S.St. Petersburg, USA 33705 · (727) 906-9405 · Fax (727) 906-9405
Phone(727) 906-9405
Fax(727) 906-9405
Organization SubpartNo
Authorized OfficialCamilla Lee BridgemanOwner · (727) 906-9405
Enumeration DateJuly 16, 2013
✔ NPI 1205277407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
License✔ Licensed in FL · 6906590
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
943 62ND TER S, St Petersburg, FL 33705
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Other Names 1

Other NameCamilla Bridgeman

Other Identifiers 2

Medicaid5766SPICESFL
MedicaidVACATION51FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity House Afch's NPI number?

The NPI number for Serenity House Afch is 1205277407. It was assigned to this organization in the NPPES registry on July 16, 2013. The provider is also known as Camilla Bridgeman.

Where is Serenity House Afch located?

Serenity House Afch is located at 943 62nd Ter S, St Petersburg, FL 33705. The listed phone number is (727) 906-9405.

What is Serenity House Afch's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

When was this NPI record last updated?

The NPPES record for Serenity House Afch was last updated on July 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.