NPIMap

Organization Active NPI

La Casa Assisted Living

  • Assisted Living Facility
  • Merritt Island, FL
National Provider Identifier
1003159443
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LA CASA ASSISTED LIVING
Practice address
220 N Grove St
Merritt Island, FL 32953-3444
Phone
(321) 449-8880
Fax
(321) 806-4500
NPI assigned
Apr 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Keith Krodel
Title
Administrator
Phone
(321) 449-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

220 N Grove St
Merritt Island, FL 32953-3444

Mailing address

220 N Grove Street
Merritt Island, FL 32953
Phone (321) 449-8880

National Provider Directory

National Provider Directory
Tax ID family
La Casa Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1003159443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N GROVE STREET",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "32953",
            "telephone_number": "321-449-8880",
            "fax_number": "321-806-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N GROVE ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533444",
            "telephone_number": "321-449-8880",
            "fax_number": "321-806-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CASA ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "KRODEL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-449-8880"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.