Active NPI
Casa de Carmelita LLC
- Nursing Care Agency
- Casa Grande, AZ
National Provider Identifier
1699474767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- CASA DE CARMELITA LLC
- Practice address
- 369 E Atlantic Dr
Casa Grande, AZ 85122-5166 - Phone
- (520) 705-3922
- NPI assigned
- Feb 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rebecca Anchondo, NP
- Title
- Nurse Practitioner
- Phone
- (520) 705-3922
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
369 E Atlantic Dr
Casa Grande, AZ 85122-5166
Mailing address
369 E Atlantic Dr
Casa Grande, AZ 85122-5166
Phone (520) 705-3922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Mesa, AZ
- NPI 1255502324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677542400000",
"number": "1699474767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "369 E ATLANTIC DR",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851225166",
"telephone_number": "520-705-3922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 E ATLANTIC DR",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851225166",
"telephone_number": "520-705-3922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASA DE CARMELITA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-28",
"last_updated": "2023-02-28",
"certification_date": "2023-02-27",
"status": "A",
"authorized_official_last_name": "ANCHONDO",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "520-705-3922",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
- Denice Carr, LPC
- Yesenia Carrillo, LPN
- Lindsay A Carroll, PA-C
- Scott Carroll, M.C
- Leah R Carter, RN, BSN, MSN, FNP
- Casa de Francis, LLC
- Casa Grand Vip & Shuttle LLC
- Casa Grande Anesthesia Services, Inc
- Casa Grande Community Acupuncture LLC
- Casa Grande Community Hospital (Desert Pavilion Skilled Nursing Facility)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.