NPIMap

Organization Active NPI

Casa, Inc.

  • Adult Care Home Facility
  • Portland, ME
National Provider Identifier
1902090285
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
CASA, INC.
Practice address
741 Warren Ave
Portland, ME 04103-1007
Phone
(207) 879-6165
Fax
(207) 879-7466
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Ms. Anne D Walp
Title
Executive Director
Phone
(207) 879-6165

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X ME
Adult Care Home Facility 311ZA0620X ME Primary
Intellectual Disabilities Intermediate Care Facility 315P00000X 36670 ME

Addresses

Primary practice location

741 Warren Ave
Portland, ME 04103-1007

Mailing address

PO Box 150
Westbrook, ME 04098-0150
Phone (207) 879-6165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161201001199 ME Part B Supplier - Clinic/Group Practice 6507146966 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, ME

National Provider Directory

National Provider Directory
Tax ID family
Casa Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1902090285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040980150",
            "telephone_number": "207-879-6165",
            "fax_number": "207-879-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 WARREN AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031007",
            "telephone_number": "207-879-6165",
            "fax_number": "207-879-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WALP",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-879-6165",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "ME",
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "ME",
            "license": null,
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "ME",
            "license": "36670",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.