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STRATUM LIFE, LLC
NPI 1336925106
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Bradenton, FL

Active since September 06, 2023CLIA 10D2294719 · Waiver
4144 20TH ST W, BRADENTON, FL 34205(941) 248-1550 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 6, 2024, Sep 6, 2023 (2 updates tracked since 2023).

About Stratum Life, Llc NPPES

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

STRATUM LIFE, LLC (NPI 1336925106) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Bradenton, Florida and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through November 28, 2027, maintains a secondary practice location in Sarasota, and lists Saida Bouhamid, Cfo, as its authorized official.

NPPES Registry Identity

NPI1336925106
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameSTRATUM LIFE, LLC
Location Address4144 20TH ST WBradenton, FL 34205-5001
Mailing Address6310 Capital DrLakewood Ranch, FL 34202-5013
Phone(941) 248-1550
Organization SubpartNo
Authorized OfficialSaida BouhamidCfo · (941) 552-7500
Enumeration DateSeptember 6, 2023
Last NPPES UpdateJanuary 28, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
✔ NPI 1336925106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
Taxonomy Code251T00000X
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
Also ListedHealth Maintenance OrganizationTaxonomy 302R00000X
4144 20TH ST W, Bradenton, FL 34205
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Secondary Practice Location 1

Location 15955 Rand BlvdSarasota, FL 34238-5160 · Phone (941) 552-7500

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2294719

Stratum Life, LLC · Bradenton, FL
Active · expires Nov 28, 2027
CLIA Number10D2294719
Laboratory TypePace Program/Adc
Certificate Effective DateNovember 29, 2025
Certificate Expiration DateNovember 28, 2027
Laboratory DirectorWilliam Burt
Laboratory Phone(941) 248-1550
Laboratory LocationStratum Life, LLC303 13th Ave E, Bradenton, FL 34208
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA LEE MANNON APRN
Nurse Practitioner (Family)
4144 20TH ST W
BRADENTON, FL 34205
Manatee County (941) 260-7804

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 Stratum Life, LLC's NPI number?

The NPI number for Stratum Life, LLC is 1336925106. It was assigned to this organization in the NPPES registry on September 6, 2023.

Where is Stratum Life, LLC located?

Stratum Life, LLC is located at 4144 20th St W, Bradenton, FL 34205. The listed phone number is (941) 248-1550.

What is Stratum Life, LLC's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Does Stratum Life, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2294719) is associated with this NPI, valid through November 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stratum Life, LLC was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.