Healthcare Provider Details

I. General information

NPI: 1427968460
Provider Name (Legal Business Name): CASA SUBINA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6519 SUN VIEW DR NW
ALBUQUERQUE NM
87120-4835
US

IV. Provider business mailing address

PO BOX 95372
ALBUQUERQUE NM
87199-5372
US

V. Phone/Fax

Practice location:
  • Phone: 505-264-0759
  • Fax:
Mailing address:
  • Phone: 505-264-0759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ANITA D'ANTONIO
Title or Position: OWNER/OPERATOR
Credential:
Phone: 505-264-0759