Provider Demographics
NPI:1265287361
Name:CASA TRINIDAD IN HOME CARE LLC
Entity type:Organization
Organization Name:CASA TRINIDAD IN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA I
Authorized Official - Middle Name:
Authorized Official - Last Name:ALANIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-672-6648
Mailing Address - Street 1:3315 BURKE RD STE 240B
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1823
Mailing Address - Country:US
Mailing Address - Phone:832-672-6648
Mailing Address - Fax:832-672-6312
Practice Address - Street 1:3315 BURKE RD STE 240B
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1823
Practice Address - Country:US
Practice Address - Phone:832-672-6648
Practice Address - Fax:832-672-6312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty