Provider Demographics
NPI:1467618140
Name:LA CAUSA, INC.
Entity Type:Organization
Organization Name:LA CAUSA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-647-8750
Mailing Address - Street 1:2745 S 13TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215-3807
Mailing Address - Country:US
Mailing Address - Phone:414-902-5800
Mailing Address - Fax:414-902-5811
Practice Address - Street 1:2745 S 13TH ST
Practice Address - Street 2:C/O MARY GODOY
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215-3807
Practice Address - Country:US
Practice Address - Phone:414-902-5800
Practice Address - Fax:414-902-5811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43084729Medicaid