Organization Active NPI

Mia Casa at North Miami.LLC

  • Assisted Living Facility
  • North Miami, FL
National Provider Identifier
1346884483
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MIA CASA AT NORTH MIAMI.LLC
Practice address
12221 W Dixie Hwy
North Miami, FL 33161-5427
Phone
(786) 299-4108
Fax
(786) 703-5907
NPI assigned
Nov 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Authorized official

Name
Santos Rafael Munoz
Title
Administrator
Phone
(786) 299-4108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

12221 W Dixie Hwy
North Miami, FL 33161-5427

Mailing address

12221 W Dixie Hwy
North Miami, FL 33161-5427
Phone (786) 299-4108

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1346884483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 W DIXIE HWY",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615427",
            "telephone_number": "786-299-4108",
            "fax_number": "786-703-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 W DIXIE HWY",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615427",
            "telephone_number": "786-299-4108",
            "fax_number": "786-703-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA CASA AT NORTH MIAMI.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "SANTOS",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-299-4108"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.