NPIMap

Organization Active NPI

Mi Casita Alf Inc.

  • Assisted Living Facility
  • Deltona, FL
National Provider Identifier
1700174463
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11911 Issued in FL
Legal business name
MI CASITA ALF INC.
Practice address
630 Stallings Ave
Deltona, FL 32738-9206
Phone
(407) 328-0811
Fax
(407) 328-4850
NPI assigned
Jul 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Authorized official

Name
Mrs. Gloria Osorio
Title
Facility Administrator
Phone
(407) 328-0811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11911 FL Primary

Addresses

Primary practice location

630 Stallings Ave
Deltona, FL 32738-9206

Mailing address

630 Stallings Ave
Deltona, FL 32738-9206
Phone (407) 328-0811

National Provider Directory

National Provider Directory
Tax ID family
Mi Casita Alf Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1700174463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 STALLINGS AVE",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327389206",
            "telephone_number": "407-328-0811",
            "fax_number": "407-328-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 STALLINGS AVE",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327389206",
            "telephone_number": "407-328-0811",
            "fax_number": "407-328-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CASITA ALF INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "OSORIO",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "FACILITY ADMINISTRATOR",
        "authorized_official_telephone_number": "407-328-0811",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.