Provider Demographics
NPI:1679461214
Name:HMP SENIOR SOLUTIONS CASA GRANDE LLC
Entity type:Organization
Organization Name:HMP SENIOR SOLUTIONS CASA GRANDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:O'CONNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-519-5876
Mailing Address - Street 1:510 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-4072
Mailing Address - Country:US
Mailing Address - Phone:520-876-4200
Mailing Address - Fax:
Practice Address - Street 1:510 E 8TH ST
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-4072
Practice Address - Country:US
Practice Address - Phone:520-876-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility