Casa Azul Enterprises, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CASA AZUL ENTERPRISES, INC.

Doing business as

Mission Wellness Home Health

Practice address

685 E Cochran St
Suite 210
Simi Valley, CA 93065-1925

Phone

(805) 526-0070

Fax

(805) 526-0077

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Eugene Ramon Avendano

Title

Ceo/Cfo

Phone

(805) 526-0070

Specialties & licenses 1

Addresses

Other names 1

• MISSION WELLNESS HOME HEALTH Doing business as

Locations

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1629255393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 E COCHRAN ST",
            "address_2": "SUITE 210",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651925",
            "telephone_number": "805-526-0070",
            "fax_number": "805-526-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 E COCHRAN ST",
            "address_2": "SUITE 210",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651925",
            "telephone_number": "805-526-0070",
            "fax_number": "805-526-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA AZUL ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "AVENDANO",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "805-526-0070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISSION WELLNESS HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blake Carney, PT
• Taylor N Carney
• Carrie L Carr-Williams
• Amie Breanne Carr
• Hillary Samantha Carvajal
• Tristan Chantz Casadei-Ziegler, CMT
• Carrie Castaneda-Sound, PHD
• Elsa Marie Castaneda
• Francesca Ysabel Manuel Castaneda
• Robyn Marie Castillo, LMFT

• Home Health Agency in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.