Organization Active NPI

Casablanca Homecare

  • Assisted Living Facility
  • Granada Hills, CA
National Provider Identifier
1023458833
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
197608511 Issued in CA
Legal business name
CASABLANCA HOMECARE
Practice address
17216 Goya St
Granada Hills, CA 91344-1206
Phone
(818) 357-1417
Fax
(818) 366-2234
NPI assigned
Jun 26, 2013
Last updated
Jun 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Mrs. Maria Luisa A. Andreas
Title
Administrator
Phone
(818) 357-1417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 197608511 CA Primary

Addresses

Primary practice location

17216 Goya St
Granada Hills, CA 91344-1206

Mailing address

17216 Goya Street
Granada Hills, CA 91344
Phone (818) 357-1417

Other names 1

  • n/a Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1023458833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17216 GOYA STREET",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "91344",
            "telephone_number": "818-357-1417",
            "fax_number": "818-366-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17216 GOYA ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441206",
            "telephone_number": "818-357-1417",
            "fax_number": "818-366-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASABLANCA HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "ANDREAS",
        "authorized_official_first_name": "MARIA LUISA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-357-1417",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197608511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.