Organization Active NPI

Su Casa Health Care Services LLC

Doing business as Su Casa Health Care Services

  • Home Health Agency
  • El Paso, TX
National Provider Identifier
1710980040
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009044 Issued in TX
Legal business name
SU CASA HEALTH CARE SERVICES LLC
Doing business as
Su Casa Health Care Services
Practice address
9220 McCombs St
El Paso, TX 79924-7443
Phone
(915) 781-1882
Fax
(915) 781-1883
NPI assigned
May 31, 2005
Last updated
Oct 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Elva Elena Brown, RN
Title
Adm, Owner
Phone
(915) 781-1882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009044 TX Primary

Addresses

Primary practice location

9220 McCombs St
El Paso, TX 79924-7443

Mailing address

9220 McCombs St
El Paso, TX 79924-7443
Phone (915) 781-1882

Other names 1

  • Su Casa Health Care Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

9220 McCombs St
El Paso, TX 79924
Phone (915) 781-1882

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Dec 28, 2017 Change of OwnershipThis provider was the seller Unity HomecareCCN 453174, TX, NPI 1447767207

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1710980040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 MCCOMBS ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799247443",
            "telephone_number": "915-781-1882",
            "fax_number": "915-781-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 MCCOMBS ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799247443",
            "telephone_number": "915-781-1882",
            "fax_number": "915-781-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SU CASA HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ELVA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "ADM, OWNER",
        "authorized_official_telephone_number": "915-781-1882",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Su Casa Health Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.