Casa Marisa II Alf, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10418 Issued in FL

Legal business name

CASA MARISA II ALF, INC.

Practice address

2930 S.W. 114 Ave.
Miami, FL 33165

Phone

(786) 464-9975

Fax

(786) 601-9797

NPI assigned

Sep 27, 2013

Organization subpart

No

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

Authorized official

Name

Obdulia Cordero

Title

Owner

Phone

(786) 346-9240

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386071942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 S.W. 114 AVE.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33165",
            "telephone_number": "786-464-9975",
            "fax_number": "786-601-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 S.W. 114 AVE.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33165",
            "telephone_number": "786-464-9975",
            "fax_number": "786-601-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA MARISA II ALF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "OBDULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-346-9240"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Miami, FL
• Providers in Miami, 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 Jul 21, 2022; 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.