Mi Casa Transitional Services Inc

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

Nov 29, 2017

Organization subpart

No

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

Authorized official

Name

Lisa M Payne, COTA/L

Title

Official Agent

Phone

(719) 214-4755

Specialties & licenses 3

Addresses

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.

• Mi Casa Transitional Services Inc

  • Case Management Agency
  • Pueblo, CO
  • NPI 1780214254
  NPD tax ID

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1790299725",
    "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": "2017-11-29",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICIAL AGENT",
        "authorized_official_telephone_number": "719-214-4755",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "CO",
            "license": "0000444",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzee Cheyenne Meyer
• Sarah Elizabeth Meyer, P.T.
• Russell J. Meyerhofer, PHD
• Mga Home Healthcare Pueblo, LLC
• Mi Casa Transitional Services Inc
• Maria Miceli
• Michael a. Ramos, MD., PC
• Michael J. Purcell, DDS
• Michael Kofford DMD; PLLC
• Michael Rosen-Pyros

• Case Management Agency in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Case Management Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.