Provider Demographics
NPI:1245782994
Name:YOUR CASA HOMECARE
Entity Type:Organization
Organization Name:YOUR CASA HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:ABRIL
Authorized Official - Suffix:
Authorized Official - Credentials:CSCM, CRT
Authorized Official - Phone:602-803-6138
Mailing Address - Street 1:20 E THOMAS RD
Mailing Address - Street 2:SUITE # 2200
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-3110
Mailing Address - Country:US
Mailing Address - Phone:602-803-6138
Mailing Address - Fax:602-801-2619
Practice Address - Street 1:20 E THOMAS RD
Practice Address - Street 2:SUITE # 2200
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-3110
Practice Address - Country:US
Practice Address - Phone:602-803-6138
Practice Address - Fax:602-801-2619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-28
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Yes253Z00000XAgenciesIn Home Supportive Care