Mi Casita Seniors Club Adult Day Care Corp

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MI CASITA SENIORS CLUB ADULT DAY CARE CORP

Practice address

10758 SW 24TH St
Miami, FL 33165-2493

Phone

(786) 598-0396

Fax

(786) 598-0399

NPI assigned

May 22, 2019

Organization subpart

No

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

Authorized official

Name

Yidaveisys Salamanca

Title

President

Phone

(786) 780-6074

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1700443025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10758 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652493",
            "telephone_number": "786-598-0396",
            "fax_number": "786-598-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10758 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652493",
            "telephone_number": "786-598-0396",
            "fax_number": "786-598-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CASITA SENIORS CLUB ADULT DAY CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "SALAMANCA",
        "authorized_official_first_name": "YIDAVEISYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-780-6074"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mi Casa Alf 1, LLC
• Mi Casa Dorada
• Mi Casa Dorada Assisted Living Facility Corp.
• Mi Casa Homes LLC
• Mi Casa Medical Centers LLC
• Mi Esperanza Home Care Corp
• Mi Gran Familia Corp
• Mi Havana Pharmacy & Discount
• Mi Kosita Inc
• Mi Luz Behavioral Wellness Inc

• Adult Day Care Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.