Casa Healthcare LLC

Organization Active NPI Contractor · Encinitas, CA

NPI 1043671886 · NPPES record last updated Mar 8, 2016

Key facts

NPI
1043671886
Entity type
Organization (NPI type 2)
Primary specialty
Contractor 171W00000X
Legal business name
CASA HEALTHCARE LLC
Practice address
1345 Encinitas Blvd Ste 444
Encinitas, CA 92024-2845
Phone
(908) 255-3076
NPI assigned
Mar 8, 2016
Organization subpart
No

Authorized official

Name
Mr. Lawrence Bradley Owen, MBA
Title
Chief Operating Officer
Phone
(908) 255-3076

National Provider Directory

Locations

1345 Encinitas Blvd
Encinitas, CA 92024
Phone (252) 633-8711

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
171W00000X Yes

Addresses

Primary practice location

1345 Encinitas Blvd Ste 444
Encinitas, CA 92024-2845

Mailing address

1345 Encinitas Blvd Ste 444
Encinitas, CA 92024-2845

Other providers in Encinitas, CA

All providers in Encinitas, CA · Contractor in California

Sources for this page

Verify at the official NPI Registry.