Casitas Operating Company LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CASITAS OPERATING COMPANY LLC

Doing business as

Casitas Care Center

Practice address

10626 Balboa Blvd
Granada Hills, CA 91344-6329

Phone

(818) 368-2802

Fax

(818) 368-0525

NPI assigned

Oct 3, 2005

Last updated

Jan 29, 2008By 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

Mr. Robert Reiss

Title

Manager

Phone

(818) 368-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Casitas Care Center Doing business as

Locations

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1902893266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10626 BALBOA BLVD",
            "address_2": "ACCOUNTING OFFICE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446329",
            "telephone_number": "818-368-2802",
            "fax_number": "818-368-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10626 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446329",
            "telephone_number": "818-368-2802",
            "fax_number": "818-368-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASITAS OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "REISS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-368-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06148J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casitas Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.