Organization Active NPI

Saejca's Castle LLC II

  • Assisted Living Facility (Mental Illness)
  • Miami, FL
National Provider Identifier
1063925444
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL13046 Issued in FL
Legal business name
SAEJCA'S CASTLE LLC II
Practice address
761 NW 203Rd St
Miami, FL 33169-2302
Phone
(305) 974-4511
Fax
(786) 657-2955
NPI assigned
Nov 8, 2017
Last updated
Nov 8, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SAEJCA'S CASTLE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Authorized official

Name
Ms. Evelyne Laure Fontaine
Title
Owner/Administrator
Phone
(786) 399-7098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL13046 FL Primary

Addresses

Primary practice location

761 NW 203Rd St
Miami, FL 33169-2302

Mailing address

1340 NE 179TH St
North Miami Beach, FL 33162-1316
Phone (786) 399-7098

National Provider Directory

National Provider Directory
Part of
Saejca's Castle LLC II

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1063925444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 NE 179TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621316",
            "telephone_number": "786-399-7098",
            "fax_number": "786-657-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 NW 203RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331692302",
            "telephone_number": "305-974-4511",
            "fax_number": "786-657-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAEJCA'S CASTLE LLC II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAEJCA'S CASTLE LLC",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "FONTAINE",
        "authorized_official_first_name": "EVELYNE",
        "authorized_official_middle_name": "LAURE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "786-399-7098",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL13046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.