Active NPI
Casa Healthcare Inc
- Nursing Facility/Intermediate Care Facility
- Upland, CA
National Provider Identifier
1093983264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- CASA HEALTHCARE INC
- Practice address
- 85 W 17TH St
Upland, CA 91784-1935 - Phone
- (909) 949-4306
- NPI assigned
- Feb 11, 2008
- 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. Rosa Ramirez
- Title
- Owner Administrator
- Phone
- (909) 949-4306
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | CA | Primary |
Addresses
Primary practice location
85 W 17TH St
Upland, CA 91784-1935
Mailing address
1456 N 2ND Ave
Upland, CA 91786-2309
Phone (909) 985-6043
Other names 1
- Casa #3
National Provider Directory
National Provider Directory- Tax ID family
- Casa 4
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Upland, CA
- NPI 1962538645
-
- Nursing Facility/Intermediate Care Facility
- Upland, CA
- NPI 1366578668
-
- Nursing Facility/Intermediate Care Facility
- Upland, CA
- NPI 1679751879
-
- Nursing Facility/Intermediate Care Facility
- Upland, CA
- NPI 1790953156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202688000000",
"number": "1093983264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1456 N 2ND AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917862309",
"telephone_number": "909-985-6043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 W 17TH ST",
"city": "UPLAND",
"state": "CA",
"postal_code": "917841935",
"telephone_number": "909-949-4306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASA HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A",
"authorized_official_last_name": "RAMIREZ",
"authorized_official_first_name": "ROSA",
"authorized_official_title_or_position": "OWNER ADMINISTRATOR",
"authorized_official_telephone_number": "909-949-4306",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Casa #3",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.