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General NPI Number Information
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NPI Number | 1194328591
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Entity Type | Organization
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Legal Business Name | CASA HEALTHCARE LLC
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 6900 SAN VICENTE AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-2766
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Country | US
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Telephone | 505-226-8202
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Fax | 505-226-0896
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Provider Business Mailing Address
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Address Line | PO BOX 92050
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City | ALBUQUERQUE
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State | NM
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Zip | 87199-2050
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Country | US
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Telephone | 505-226-8202
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Fax | 505-226-0896
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Authorized Official
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Title or Position | OWNER
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Name | GARY SANCHEZ
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Credential |
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Telephone | 505-226-8202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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