Organization Active NPI

Mi Casa Home Health Care, LLC

  • Home Health Agency
  • Albuquerque, NM
National Provider Identifier
1043580533
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MI CASA HOME HEALTH CARE, LLC
Practice address
9301 Indian School Rd NE
Suite 208-C
Albuquerque, NM 87112-2884
Phone
(505) 205-1047
Fax
(505) 962-2341
NPI assigned
Dec 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Mrs. Racquel Gurule
Title
Ceo
Phone
(505) 205-1047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9301 Indian School Rd NE
Suite 208-C
Albuquerque, NM 87112-2884

Mailing address

9301 Indian School Rd NE
Suite 208-C
Albuquerque, NM 87112-2884
Phone (505) 205-1047

National Provider Directory

National Provider Directory

Locations

9301 Indian School Rd NE
Ste 208C
Albuquerque, NM 87112
Phone (505) 205-1047

9301 Indian School Rd NE
#208C
Albuquerque, NM 87112
Phone (505) 205-1047

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1043580533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 INDIAN SCHOOL RD NE",
            "address_2": "SUITE 208-C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122884",
            "telephone_number": "505-205-1047",
            "fax_number": "505-962-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 INDIAN SCHOOL RD NE",
            "address_2": "SUITE 208-C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122884",
            "telephone_number": "505-205-1047",
            "fax_number": "505-962-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CASA HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "GURULE",
        "authorized_official_first_name": "RACQUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-205-1047",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.