Casa Colina LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CASA COLINA LLC

Practice address

1041 Rutherford Road
Waxahachie, TX 75165-8304

Phone

(972) 449-2000

Fax

(972) 449-2100

NPI assigned

Sep 14, 2016

Organization subpart

No

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

Authorized official

Name

Kay Fontenot, LCSW

Title

Director of Admissions

Phone

(214) 995-9566

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1245788728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 RUTHERFORD RD",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751658304",
            "telephone_number": "972-449-2000",
            "fax_number": "972-449-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 RUTHERFORD ROAD",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751658304",
            "telephone_number": "972-449-2000",
            "fax_number": "972-449-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA COLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "DIRECTOR OF ADMISSIONS",
        "authorized_official_telephone_number": "214-995-9566",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Carey, /12/1955
• Stacy Carpenter, RPH
• William M. Carpenter III, PH.D.
• Diane Marie Carr, DO
• Barbara Ann Carter, APRN-CNP
• Allison Caspersen, NP
• Maria Castillo
• Jessica Susan Castle, FNP
• Audra Ann Chambers, COTA
• Joy Ann Chandler, LPC

• Substance Abuse Rehabilitation Facility in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.