Casa Bonita Assisted Living Facility, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11281 Issued in FL

Legal business name

CASA BONITA ASSISTED LIVING FACILITY, INC

Practice address

931 NE 17TH Ter
Homestead, FL 33033-4633

Phone

(305) 878-4535

Fax

(130) 543-3818

NPI assigned

Dec 19, 2011

Organization subpart

No

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

Authorized official

Name

Haydee Mayor

Title

Owner

Phone

(305) 878-4535

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1497024699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 NE 17TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330334633",
            "telephone_number": "305-878-4535",
            "fax_number": "130-543-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 NE 17TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330334633",
            "telephone_number": "305-878-4535",
            "fax_number": "130-543-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA BONITA ASSISTED LIVING FACILITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "MAYOR",
        "authorized_official_first_name": "HAYDEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-878-4535"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004223700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greyddy Carvajal Borges, DDS
• Valeria Del Pilar Carvajal Pardo
• Daniel Giovannie Carvajal, RPH
• Casa Amor Alf LLC
• Casa Bonita Alf, LLC
• Casa de Campo Alf LLC
• Casa Esperanza Group Home LLC
• Gabriela Casamayor Diaz
• Casanas Behavioral Services, LLC
• Glenda Casanas Marrero, BCBA

• Assisted Living Facility in Homestead, FL
• Providers in Homestead, 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 Dec 19, 2011; 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.