NPIMap

Organization Active NPI

Casanova Alf #3

  • Assisted Living Facility
  • Hialeah, FL
National Provider Identifier
1477760957
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9749 Issued in FL
Legal business name
CASANOVA ALF #3
Practice address
2461 W 72ND PL
Hialeah, FL 33016-6518
Phone
(305) 557-5620
Fax
(305) 231-9212
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Mrs. Norma Alicia Casanova, ADMON
Title
Administrator
Phone
(305) 343-9971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9749 FL Primary

Addresses

Primary practice location

2461 W 72ND PL
Hialeah, FL 33016-6518

Mailing address

2461 W 72ND PL
Hialeah, FL 33016-6518
Phone (305) 557-5620

Other identifiers 1

IdentifierTypeStateIssuer
690288000MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Casanova Alf5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2461 W 72nd Pl
Hialeah, FL 33016
Phone (305) 557-5620

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1477760957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 W 72ND PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166518",
            "telephone_number": "305-557-5620",
            "fax_number": "305-231-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 W 72ND PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166518",
            "telephone_number": "305-557-5620",
            "fax_number": "305-231-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASANOVA ALF #3",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "CASANOVA",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "ALICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-343-9971",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMON"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690288000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.