Organization Active NPI

Mi Casa Transitional Services Inc

  • Case Management Agency
  • Pueblo, CO
National Provider Identifier
1780214254
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MI CASA TRANSITIONAL SERVICES INC
Practice address
1611 Crestmoor Dr
Pueblo, CO 81001-2727
Phone
(719) 214-4755
NPI assigned
Jan 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Lisa M Payne
Title
Administrator
Phone
(719) 214-4755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1611 Crestmoor Dr
Pueblo, CO 81001-2727

Mailing address

1611 Crestmoor Dr
Pueblo, CO 81001-2727
Phone (719) 214-4755

National Provider Directory

National Provider Directory
Tax ID family
Mi Casa Transitional Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1780214254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 CRESTMOOR DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810012727",
            "telephone_number": "719-214-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 CRESTMOOR DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810012727",
            "telephone_number": "719-214-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CASA TRANSITIONAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-214-4755"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.