Provider Demographics
NPI:1790393536
Name:SUCCESS CARE SERVICES, LLC
Entity Type:Organization
Organization Name:SUCCESS CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLUMUYIWA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEOYIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-850-1854
Mailing Address - Street 1:1146 TIMBER TRACE DR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-6502
Mailing Address - Country:US
Mailing Address - Phone:813-850-4970
Mailing Address - Fax:813-991-5071
Practice Address - Street 1:1146 TIMBER TRACE DR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-6502
Practice Address - Country:US
Practice Address - Phone:813-850-4970
Practice Address - Fax:813-991-5071
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUCCESS CARE SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility