Provider Demographics
NPI:1477732816
Name:CASMIR CARE SERVICES, INC
Entity Type:Organization
Organization Name:CASMIR CARE SERVICES, INC
Other - Org Name:CASMIR CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHETACHI
Authorized Official - Middle Name:
Authorized Official - Last Name:ECTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-241-4676
Mailing Address - Street 1:619 N 35TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-1901
Mailing Address - Country:US
Mailing Address - Phone:267-241-4676
Mailing Address - Fax:215-382-6244
Practice Address - Street 1:619 N 35TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-1901
Practice Address - Country:US
Practice Address - Phone:267-241-4676
Practice Address - Fax:215-382-6244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163WH0200X, 164W00000X, 251J00000X
PA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No251J00000XAgenciesNursing Care