NPIMap

Organization Active NPI

Nuestra Casa, Inc.

  • Adult Day Care Clinic/Center
  • Lake Worth, FL
National Provider Identifier
1255757415
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
AL11471 Issued in FL
Legal business name
NUESTRA CASA, INC.
Practice address
1906 N a St
Lake Worth, FL 33460-6002
Phone
(561) 252-6399
NPI assigned
Mar 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Conrado Barrio
Title
Administrator
Phone
(561) 252-6399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X AL11471 FL Primary

Addresses

Primary practice location

1906 N a St
Lake Worth, FL 33460-6002

Mailing address

1906 N a St
Lake Worth, FL 33460-6002
Phone (561) 252-6399

Other identifiers 1

IdentifierTypeStateIssuer
008794500MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Nuestra Casa3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1255757415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 N A ST",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334606002",
            "telephone_number": "561-252-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 N A ST",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334606002",
            "telephone_number": "561-252-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUESTRA CASA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "BARRIO",
        "authorized_official_first_name": "CONRADO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-252-6399"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "AL11471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008794500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.