Healthcare Provider Details

I. General information

NPI: 1467324384
Provider Name (Legal Business Name): LA CASITA DE ESPERANZA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 E LANDIS AVE
VINELAND NJ
08360-8001
US

IV. Provider business mailing address

727 E LANDIS AVE
VINELAND NJ
08360-8001
US

V. Phone/Fax

Practice location:
  • Phone: 856-538-0372
  • Fax:
Mailing address:
  • Phone: 856-538-0372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA MARTINEZ
Title or Position: CFO
Credential:
Phone: 856-538-0372