Mi Casa Es Tu Casa #2

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

9232 Issued in FL

Legal business name

MI CASA ES TU CASA #2

Practice address

6700 Parker Ave
West Palm Beach, FL 33405-4550

Phone

(561) 547-5474

NPI assigned

May 28, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Rosa E Pestana

Title

Administrator/Owner

Phone

(561) 547-5474

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1124465422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 PARKER AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334054550",
            "telephone_number": "561-547-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 PARKER AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334054550",
            "telephone_number": "561-547-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CASA ES TU CASA #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "PESTANA",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "561-547-5474",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "9232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenniffer Alexandra Meza Jimenez, LD/N, CLC
• Dmitry A Mezentsev, MD
• Jokebede Mezidor
• Carmel Mezier
• Nicole Mezoff, AP
• Mi Casitas Alf LLC
• Miami WLP, LLC
• Taylor Alissa Micallef, DMD
• Ave Maria Miceli
• Michael a. Gleiber, M.D., P.a.

• Assisted Living Facility in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.