Healthcare Provider Details

I. General information

NPI: 1285553461
Provider Name (Legal Business Name): MI CASA ALF 1, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8610 SW 97TH RD
MIAMI FL
33173-4071
US

IV. Provider business mailing address

8610 SW 97TH RD
MIAMI FL
33173-4071
US

V. Phone/Fax

Practice location:
  • Phone: 786-615-9435
  • Fax: 786-513-0103
Mailing address:
  • Phone: 786-615-9435
  • Fax: 786-513-0103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: CARLOS ORAMAS GARRIDO
Title or Position: OWNER
Credential:
Phone: 305-879-4250