Healthcare Provider Details

I. General information

NPI: 1669454989
Provider Name (Legal Business Name): CASA MEDICAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6902 E CHAPARRAL RD
PARADISE VALLEY AZ
85253-7080
US

IV. Provider business mailing address

6902 E CHAPARRAL RD
PARADISE VALLEY AZ
85253-7080
US

V. Phone/Fax

Practice location:
  • Phone: 480-941-9493
  • Fax: 480-941-9492
Mailing address:
  • Phone: 480-941-9493
  • Fax: 480-941-9492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEBRA MARIE BOBBE
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 480-941-9493