Casademckenziehomecareservices

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

CASADEMCKENZIEHOMECARESERVICES

Practice address

1361 Snyder Ave
Modesto, CA 95356-8901

Phone

(408) 750-7904

Fax

(209) 408-8066

NPI assigned

Jul 11, 2020

Organization subpart

No

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

Authorized official

Name

Wilma Servando Cox

Title

Coo

Phone

(408) 750-7904

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1594425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594425600000",
    "number": "1891313284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 SNYDER AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568901",
            "telephone_number": "408-750-7904",
            "fax_number": "209-408-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 SNYDER AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568901",
            "telephone_number": "408-750-7904",
            "fax_number": "209-408-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASADEMCKENZIEHOMECARESERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-11",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "WILMA",
        "authorized_official_middle_name": "SERVANDO",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "408-750-7904"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERANS/CONSERVATORSHIP",
            "identifier": "0000000001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Cartisano
• Alina Monique Carvajal
• Darlene Carvalho
• Thelma Morie Carver
• Dorbea Cary
• Daniel Casanova
• Lorita Casanova, LMFT
• Emily Marie Casarez
• Angela Teresa Casazza
• Gayle Case

• Home Health Aide in Modesto, CA
• Providers in Modesto, CA by specialty
• Home Health Aide in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.