Mi Casitas Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL13101 Issued in FL

Legal business name

MI CASITAS ALF LLC

Practice address

313 N Sapodilla Ave
West Palm Beach, FL 33401-3340

Phone

(561) 685-9883

NPI assigned

Jan 10, 2018

Last updated

Jan 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nivia A Jean-Louis

Title

Owner

Phone

(561) 685-9883

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1386151405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N SAPODILLA AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33401",
            "telephone_number": "561-685-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N SAPODILLA AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013340",
            "telephone_number": "561-685-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CASITAS ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "JEAN-LOUIS",
        "authorized_official_first_name": "NIVIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-685-9883"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL13101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dmitry A Mezentsev, MD
• Jokebede Mezidor
• Carmel Mezier
• Nicole Mezoff, AP
• Mi Casa Es Tu Casa #2
• Miami WLP, LLC
• Taylor Alissa Micallef, DMD
• Ave Maria Miceli
• Michael a. Gleiber, M.D., P.a.
• Michael Berglass, DDS PLLC

• 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 Jan 10, 2018; 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.