Active NPI
Casablanca Homecare
- Assisted Living Facility
- Granada Hills, CA
National Provider Identifier
1023458833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 197608511
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.