Provider Demographics
NPI:1235339862
Name:CASEY HOME SENIOR CARE INC
Entity Type:Organization
Organization Name:CASEY HOME SENIOR CARE INC
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:L
Authorized Official - Last Name:CASEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-624-8380
Mailing Address - Street 1:171 E GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-4513
Mailing Address - Country:US
Mailing Address - Phone:830-624-8380
Mailing Address - Fax:830-620-5381
Practice Address - Street 1:171 E GARDEN ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-4513
Practice Address - Country:US
Practice Address - Phone:830-624-8380
Practice Address - Fax:830-620-5381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-22
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008767251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health