Healthcare Provider Details

I. General information

NPI: 1720901580
Provider Name (Legal Business Name): CASA AMARA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

937 CIMA LINDA LN
MONTECITO CA
93108-1816
US

IV. Provider business mailing address

1470 E VALLEY RD
MONTECITO CA
93108-1220
US

V. Phone/Fax

Practice location:
  • Phone: 805-869-2448
  • Fax: 805-869-6456
Mailing address:
  • Phone: 805-869-2448
  • Fax: 805-869-6456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MARTHA FLING
Title or Position: CEO
Credential:
Phone: 805-869-6425