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MI CASA ADULT LIVING FACILITY HOME INC NPI 1205070539


NPI Information

NPI: 1205070539
Provider Name: MI CASA ADULT LIVING FACILITY HOME, INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
6856 SAINT AUGUSTINE RD
JACKSONVILLE, FL
ZIP 32217
Phone: (904) 739-3927
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MI CASA ADULT LIVING FACILITY HOME, INC is an assisted living facility in Jacksonville, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MI CASA ADULT LIVING FACILITY HOME, INC NPI is 1205070539. The provider is registered as an organization entity type.

The provider's business location address is:

6856 SAINT AUGUSTINE RD
JACKSONVILLE, FL
ZIP 32217-818
Phone: (904) 739-3927
Fax: (904) 448-0130

The provider's authorized official is Jesus R Castillo .
The authorized official title is Owner and has the following contact phone number (904) 739-3927.

The enumeration date for this NPI number is 4/30/2009 and was last updated on 7/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility11548FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.