SERENITY LIFE WELLNESS CENTER, LLC
NPI 1649059957
Preventive Medicine - Addiction Medicine in North Ridgeville, OH

Q: What is Serenity Life Wellness Center, LLC's NPI number?

The NPI number for Serenity Life Wellness Center, LLC is 1649059957. It was assigned to this organization in the NPPES registry on September 26, 2023.

Q: What is Serenity Life Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Active since September 26, 2023

4903 MARK CT, NORTH RIDGEVILLE, OH 44039(407) 797-7298(407) 386-0032 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Serenity Life Wellness Center, Llc NPPES

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

SERENITY LIFE WELLNESS CENTER, LLC (NPI 1649059957) is a healthcare organization registered as an addiction medicine in North Ridgeville, Ohio and active in the NPI registry since September 2023. The organization lists Oswaldo J Perez, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1649059957

Entity TypeOrganization

Primary Taxonomy2083A0300X

Legal Business NameSERENITY LIFE WELLNESS CENTER, LLC

Location Address4903 MARK CTNorth Ridgeville, OH 44039-1753

Mailing Address4903 Mark CtNorth Ridgeville, OH 44039-1753 · (407) 797-7298 · Fax (407) 386-0032

Phone(407) 797-7298

Fax(407) 386-0032

Organization SubpartNo

Authorized OfficialOswaldo J PerezC.e.o. · (407) 946-0093

Enumeration DateSeptember 26, 2023

Last NPPES UpdateNovember 6, 2023

NPPES CertifiedNovember 6, 2023

✔ NPI 1649059957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083A0300X

Definition

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

4903 MARK CT, North Ridgeville, OH 44039

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serenity Life Wellness Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Serenity Life Wellness Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oswaldo Perez, MS LMHC QS

Mental Health Counselor

NPI 1306266879

804 N HOAGLAND BLVD
Kissimmee, FL 34741

(407) 797-7298

✔ PECOS✔ Accepts Medicare904 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Life Wellness Center, LLC's NPI number?

The NPI number for Serenity Life Wellness Center, LLC is 1649059957. It was assigned to this organization in the NPPES registry on September 26, 2023.

Where is Serenity Life Wellness Center, LLC located?

Serenity Life Wellness Center, LLC is located at 4903 Mark Ct, North Ridgeville, OH 44039. The listed phone number is (407) 797-7298.

What is Serenity Life Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Serenity Life Wellness Center, LLC enrolled in Medicare?

Yes. Serenity Life Wellness Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serenity Life Wellness Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Serenity Life Wellness Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Serenity Life Wellness Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Serenity Life Wellness Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Serenity Life Wellness Center, LLC was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.