Mi Casa Su Casa Seniors Villas

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MI CASA SU CASA SENIORS VILLAS

Doing business as

Home Care Villas

Practice address

9039 NW 20TH MNR
Coral Springs, FL 33071-6138

Phone

(954) 344-0063

Fax

(754) 229-8852

NPI assigned

Oct 18, 2024

Last updated

Oct 18, 2024By 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

Otasha Shemika SmallNPI 1922841766

Title

Admin

Phone

(954) 860-1804

Specialties & licenses 1

Addresses

Other names 1

• HOME CARE VILLAS Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Otasha Shemika Small

  • Nursing Home Administrator
  • Coral Springs, FL
  • NPI 1922841766
  NPD Authorized official

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1669293965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9039 NW 20TH MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716138",
            "telephone_number": "954-344-0063",
            "fax_number": "754-229-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9039 NW 20TH MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716138",
            "telephone_number": "954-344-0063",
            "fax_number": "754-229-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CASA SU CASA SENIORS VILLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "OTASHA",
        "authorized_official_middle_name": "SHEMIKA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "954-860-1804"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOME CARE VILLAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Craig Evan Meskin, D.D.S.
• Lillie Metcalf
• Metro Labs, LLC (Metro Labs)
• Edward William Metzgar Jr., D.D.S.
• Candelle S Metzler, APRN
• Miami Best Chiropractic LLC
• Miami Blue Med Supplies Corp
• Michael D Halldpmpa
• Michael D. Hall DPM PA
• Michael P. Zahalsky, MD PA

• Assisted Living Facility in Coral Springs, FL
• Providers in Coral Springs, 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 Oct 18, 2024; 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.