Casa de Amistad, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

CASA DE AMISTAD, INC.

Practice address

1933 Fredericksburg Rd
Suite 101
San Antonio, TX 78201-4457

Phone

(210) 737-6955

Fax

(210) 737-6956

NPI assigned

Nov 9, 2006

Last updated

Oct 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mariela Angulo, RN

Title

Director

Phone

(210) 737-6955

Specialties & licenses 2

Addresses

Other names 1

• Casa De Amistad Adult Day Care Former legal business name

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1841360542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 FREDERICKSBURG RD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782014457",
            "telephone_number": "210-737-6955",
            "fax_number": "210-737-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 FREDERICKSBURG RD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782014457",
            "telephone_number": "210-737-6955",
            "fax_number": "210-737-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA DE AMISTAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "ANGULO",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "210-737-6955",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "TX",
            "license": "118537",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa De Amistad Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Casa De Amistad Adult Day Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Deborah Lynne Carver, M.D.
• Lea Ann Carver, NP
• Maria D Carver
• Patsy K Carver
• Julianne Elyse Cary, PH.D.
• Casa de Angeles Hospice Care, LLC
• Casa de Voces LLC (Evergreen Therapy)
• Casa Linda Homecare, Inc.
• Michelle Casalean
• Bryan Osmar Casanova Cervantes, CPHT

• Adult Day Care Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.