Organization Active NPI

Casablanca Assisted Living and Memory Care

  • Case Management Agency
  • Fort Worth, TX
National Provider Identifier
1013334721
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
000671 Issued in TX
Legal business name
CASABLANCA ASSISTED LIVING AND MEMORY CARE
Practice address
6617 Dan Danciger Rd
Ft Worth, TX 76133-4905
Phone
(817) 292-0925
NPI assigned
Mar 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Authorized official

Name
Lou Losanes, PHYSICAL THERAPIST
Title
Manager
Phone
(972) 816-9663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 000671 TX Primary

Addresses

Primary practice location

6617 Dan Danciger Rd
Ft Worth, TX 76133-4905

Mailing address

6617 Dan Danciger Rd
Ft Worth, TX 76133-4905
Phone (817) 292-0925

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1013334721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6617 DAN DANCIGER RD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761334905",
            "telephone_number": "817-292-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6617 DAN DANCIGER RD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761334905",
            "telephone_number": "817-292-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASABLANCA ASSISTED LIVING AND MEMORY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "LOSANES",
        "authorized_official_first_name": "LOU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-816-9663",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "000671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.