Organization Active NPI

Mi Casa P.a.S., Inc

  • Home Health Agency
  • San Elizario, TX
National Provider Identifier
1073739447
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009548 Issued in TX
Legal business name
MI CASA P.A.S., INC
Practice address
440 FM 1110
San Elizario, TX 79849
Phone
(915) 851-4663
Fax
(915) 851-0899
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Manuel Hector Gonzalez Sr.
Title
Administrator
Phone
(915) 851-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009548 TX Primary

Addresses

Primary practice location

440 FM 1110
San Elizario, TX 79849

Mailing address

PO Box 1136
Clint, TX 79836-1136
Phone (915) 851-4663

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073739447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1136",
            "city": "CLINT",
            "state": "TX",
            "postal_code": "798361136",
            "telephone_number": "915-851-4663",
            "fax_number": "915-851-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 FM 1110",
            "city": "SAN ELIZARIO",
            "state": "TX",
            "postal_code": "79849",
            "telephone_number": "915-851-4663",
            "fax_number": "915-851-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CASA P.A.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "HECTOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-851-4663",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Elizario, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.