CASA BONITA ASSISTED LIVING FACILITY, INC (NPI# 1497024699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497024699 |
| Entity Type | Organization |
| Organization Name | CASA BONITA ASSISTED LIVING FACILITY, INC |
| Practice Address |
931 Ne 17th Ter Homestead FL 33033-4633 |
| Practice Telephone | 3058784535 |
| Practice Fax Number | 1305433818 |
| Mailing Telephone | 3058784535 |
| Mailing Fax Number | 1305433818 |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |
| Authorized Official Name | HAYDEE MAYOR (OWNER) |
| Authorized Official Telephone | 3058784535 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL11281 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004223700 | 05 |
| Street Address |
931 NE 17TH TER |
| City | HOMESTEAD |
| State | FL |
| Zip Code | 33033-4633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194019919 | Bright Happy Home | Assisted Living Facility | 931 Ne 17th Ter, Homestead, FL 33033-4633 | 2011-06-09 |
| 1104249820 | Casa Bonita Alf, LLC | Assisted Living Facility | 931 Ne 17th Ter, Homestead, FL 33033-4633 | 2014-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451832 | Rodolfo Sigler | Pharmacist | 1499 South Dixie Highway, Homestead, FL 33033 | 2019-11-15 |
| 1891337119 | Ricardo Saez | Nurse Practitioner | 2936 Se 3rd Street, Homestead, FL 33033 | 2019-10-09 |
| 1164904876 | Mayrelis Rodriguez Chaviano | Behavior Technician | 1510 E Mowry Dr Apt 107, Homestead, FL 33033 | 2018-08-30 |
| 1598252470 | Mcdivitt Arnold | Community/Behavioral Health | 945 Ne 34 Ave, 104, Homestead, FL 33033 | 2018-04-17 |
| 1972007870 | Anaivys Gomez Abreu | Behavior Technician | 1504 E Mowry Dr Apt 101, Homestead, FL 33033 | 2018-03-23 |
| 1023519261 | Lifeway Programs LLC | Community/Behavioral Health | 15300 Sw 288th St, Homestead, FL 33033 | 2018-02-22 |
| 1447759964 | Yaneisis Salazar Barata | Physical Therapy Assistant | 31 N Krome, Homestead, FL 33033 | 2018-02-10 |
| 1184132763 | C.o.r. Injury Centers of Homestead Inc. | Clinic/Center | 15600 Sw 288th Street, Homestead, FL 33033 | 2018-01-17 |
| 1790299949 | Aidalis Hechavarria | Behavior Technician | 1548 Ne 8th St Apt 105, Homestead, FL 33033 | 2017-11-27 |
| 1053839621 | Generosa E Gonzalez | Behavior Technician | 30322 Sw 161 Ave, Homestead, FL 33033 | 2017-09-05 |
| Find all providers in zip 33033 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313282 | Karelis Home Care, LLC | Assisted Living Facility | 1536 Nw 8th Ave, Homestead, FL 33030-4015 | 2020-07-22 |
| 1043835416 | Abuelo Eusebio Alf Corporation | Assisted Living Facility | 28361 Sw 158th Ave, Homestead, FL 33033-1107 | 2020-06-11 |
| 1225652399 | Health Paradise Alf LLC | Assisted Living Facility | 27780 Sw 135th Avenue Rd, Homestead, FL 33032-2569 | 2020-06-03 |
| 1629690938 | R C Dreams Home Care Inc. | Assisted Living Facility | 12432 Sw 259th St, Homestead, FL 33032-7077 | 2020-05-08 |
| 1124648001 | Long Life Alf LLC | Assisted Living Facility | 245 Nw 5th Ave, Homestead, FL 33030-5803 | 2020-04-21 |
| 1487274262 | High Tower Alf LLC | Assisted Living Facility | 432 Nw 15th St, Homestead, FL 33030-4254 | 2020-04-21 |
| 1447715073 | Wrm Embrace Retirement Home | Assisted Living Facility | 30500 Sw 152nd Ave, Homestead, FL 33033-4302 | 2019-02-07 |
| 1467926162 | United Lives Leisure Facilities, Inc. | Assisted Living Facility | 24167 Sw 114th Ct, Homestead, FL 33032-3156 | 2019-01-15 |
| 1538670815 | Gutleber Senior Living LLC | Assisted Living Facility | 140 Ne 16th St, Homestead, FL 33030-4513 | 2017-10-13 |
| 1417481656 | A Senior Living Dream LLC | Assisted Living Facility | 13442 Sw 284 Th Street, Homestead, FL 33033-1942 | 2017-04-14 |
| Find all providers in HOMESTEAD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.