Cazeau Adult Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

CAZEAU ADULT FAMILY CARE HOME

Practice address

724 China Berry Cir # 1
Davenport, FL 33837-3908

Phone

(551) 216-5300

NPI assigned

Nov 25, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Michelet Cazeau, RN, BS, CWCN

Title

Administrator

Phone

(551) 216-5300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cazeau Adult Family Care Home Former legal business name

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1669018719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 CHINA BERRY CIR # 1",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373908",
            "telephone_number": "551-216-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 CHINA BERRY CIR # 1",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373908",
            "telephone_number": "551-216-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAZEAU ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "CAZEAU",
        "authorized_official_first_name": "MICHELET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "551-216-5300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, BS, CWCN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103536700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cazeau Adult Family Care Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Celestial Home Care Services LLC

• Adult Care Home Facility in Davenport, FL
• Providers in Davenport, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.