Mi Casa Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

044-R-0199 Issued in GA

Legal business name

MI CASA INC

Doing business as

Mi Casa Care

Practice address

2271 Brengare Dr
Decatur, GA 30033-4711

Phone

(678) 261-3665

Fax

(866) 383-4655

NPI assigned

Mar 28, 2007

Last updated

Aug 22, 2020By 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. Tony K Boatright

Title

VP Coo

Phone

(678) 261-3665

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mi Casa Care Doing business as

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982723953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 BRENGARE DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334711",
            "telephone_number": "678-261-3665",
            "fax_number": "866-383-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 BRENGARE DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334711",
            "telephone_number": "678-261-3665",
            "fax_number": "866-383-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CASA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOATRIGHT",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VP  COO",
        "authorized_official_telephone_number": "678-261-3665",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "044-R-0199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA DEPT OF HR LICENSE",
            "identifier": "044-R-0199",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mi Casa Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Metro Vascular, P.C.
• Metro Women's Health Specialist, LLC
• Metropolitan Atlanta OB/GYN
• Samantha Rose Metzler
• Elise N Meyers
• Michael B Stubbs MD PC
• Michael S Conley M.D., P.C.
• Iriss Mickens, LMSW
• Talia Mickens
• Mid America Group of Georgia PC

• Home Health Agency in Decatur, GA
• Providers in Decatur, GA by specialty
• Home Health Agency in Georgia

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