Organization Active NPI

Casa Grande Sr. Care Home

  • Mental Illness Community Based Residential Treatment Facility
  • Visalia, CA
National Provider Identifier
1497992895
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
540405657 Issued in CA
Legal business name
CASA GRANDE SR. CARE HOME
Practice address
347 E Walnut Ave
Visalia, CA 93277-5458
Phone
(559) 733-0233
Fax
(559) 733-7503
NPI assigned
Jan 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Mrs. Lisamarie Silveira Reimer
Title
Jr. Administrator
Phone
(559) 733-0233

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 540404321 CA
Mental Illness Community Based Residential Treatment Facility 320800000X 540405657 CA Primary
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

347 E Walnut Ave
Visalia, CA 93277-5458

Mailing address

347 E Walnut Ave
Visalia, CA 93277-5458
Phone (559) 733-0233

Other names 1

  • Casa Grande Sr. Care Home & Assisted Living Other name

National Provider Directory

National Provider Directory

Locations

347 E Walnut Ave
Visalia, CA 93277
Phone (559) 733-0233

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1497992895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 E WALNUT AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775458",
            "telephone_number": "559-733-0233",
            "fax_number": "559-733-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 E WALNUT AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775458",
            "telephone_number": "559-733-0233",
            "fax_number": "559-733-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA GRANDE SR. CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "REIMER",
        "authorized_official_first_name": "LISAMARIE",
        "authorized_official_middle_name": "SILVEIRA",
        "authorized_official_title_or_position": "JR. ADMINISTRATOR",
        "authorized_official_telephone_number": "559-733-0233",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "540404321",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "540405657",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Grande Sr. Care Home & Assisted Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.