NPIMap

Organization Active NPI

Casa Health Care Inc.

Doing business as Casa #4

  • Nursing Facility/Intermediate Care Facility
  • Upland, CA
National Provider Identifier
1366578668
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
24000030837 Issued in CA
Legal business name
CASA HEALTH CARE INC.
Doing business as
Casa #4
Practice address
85 W 17TH St
Upland, CA 91784-1935
Phone
(909) 949-4306
Fax
(909) 949-4005
NPI assigned
Feb 23, 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
Mrs. Rosa Ramirez
Title
Owner Administrator
Phone
(909) 949-4306

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 24000030851 CA
Nursing Facility/Intermediate Care Facility 313M00000X 24000030763 CA
Nursing Facility/Intermediate Care Facility 313M00000X 24000030730 CA
Nursing Facility/Intermediate Care Facility 313M00000X 24000030837 CA Primary

Addresses

Primary practice location

85 W 17TH St
Upland, CA 91784-1935

Mailing address

85 W 17TH St
Upland, CA 91784-1935
Phone (909) 949-4306

Other identifiers 4

IdentifierTypeStateIssuer
LTC80248FMedicaidCA
LTC80346FMedicaidCA
LTC80289FMedicaidCA
LTC80318FMedicaidCA

Other names 1

  • CASA #4 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Casa 45 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366578668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 W 17TH ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841935",
            "telephone_number": "909-949-4306",
            "fax_number": "909-949-4005"
        },
        {
            "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",
            "fax_number": "909-949-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "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": "24000030851",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "24000030763",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "24000030730",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "24000030837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80248F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80346F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80289F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80318F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CASA #4",
            "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 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.