Mi Casa Nursing Services Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

013683 Issued in TX

Legal business name

MI CASA NURSING SERVICES HOME HEALTH LLC

Practice address

701 N Texas Blvd Ste a
Alice, TX 78332-3883

Phone

(361) 664-3900

Fax

(361) 664-3901

NPI assigned

Aug 16, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Blanca Castillo Garcia

Title

President/Owner

Phone

(361) 664-3900

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mi Casa Home Health Agency Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747607

Legal name

MI CASA NURSING SERVICES HOME HEALTH, LLC

Doing business as

MI CASA HOME HEALTH AGENCY

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 28, 2011

Last certification

Oct 26, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Aug 10, 2010 in TX

Enrollment address

701 N Texas Blvd, Ste a
Alice, TX 78332-3883

Listed as

Mi Casa Home Health AgencyCCN 747607

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Jul 28, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1104131028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4079",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "78333",
            "telephone_number": "361-664-3900",
            "fax_number": "361-664-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N TEXAS BLVD STE A",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783323883",
            "telephone_number": "361-664-3900",
            "fax_number": "361-664-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CASA NURSING SERVICES HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "CASTILLO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "361-664-3900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "013683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001020692",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mi Casa Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mi Casa Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medquick Supplies LLC
• Erika Ann Mendez, PH.D., LPC
• Tara Mendietta, FNPC
• Ricardo Elias Mendiondo Jr., FNP-C
• Mi Casa Hospice, L.L.C
• Milestones Therapy Center
• Kimberley Michelle Mills, FNP-C
• Evelyn Minguela-Velez, SLP
• Misscel'S Home Healthcare LLC
• Ellen Mitchell, RN, BC, FNP,ANP,MSN

• All providers in Alice, TX
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.