Casa Nova Icf/DD-H

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

CASA NOVA ICF/DD-H

Practice address

3937 Casanova Dr
San Mateo, CA 94403-3614

Phone

(650) 341-9620

Fax

(650) 525-1167

NPI assigned

Apr 1, 2008

Organization subpart

Yes

Parent organization

YTR HOMES ICF/DD-HAs reported in NPPES

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

Authorized official

Name

Ms. Yolanda Ruiz

Title

Licensee/Cfo

Phone

(650) 303-0788

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

James Court Manor3 organizations share this tax ID, including this one

Part of

James Court Manor

Other organizations with this tax ID 2

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

• James Court Manor

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • San Mateo, CA
  • NPI 1730351545
  NPD tax ID
• The Lyons Manor

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Redwood City, CA
  • NPI 1912179805
  NPD tax ID

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1982876702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 CASANOVA DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033614",
            "telephone_number": "650-341-9620",
            "fax_number": "650-525-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 CASANOVA DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033614",
            "telephone_number": "650-341-9620",
            "fax_number": "650-525-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA NOVA ICF/DD-H",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YTR HOMES ICF/DD-H",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "LICENSEE/CFO",
        "authorized_official_telephone_number": "650-303-0788",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC 60829F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Carolina Cartagena
• Sterling Carter-Roth, RSUD
• Kiana Carter
• Racquel Carter
• Anna Maria Caruso, H.I.S
• Angela Case, BCBA
• Julia Caserta
• Elizabeth Casey
• Lelis Casil
• Aysha Cassidy

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.