Provider Demographics
NPI:1447048632
Name:CASA HOME CARE, LLC.
Entity type:Organization
Organization Name:CASA HOME CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BERNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-799-7956
Mailing Address - Street 1:2431 MONTANA AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79903-3635
Mailing Address - Country:US
Mailing Address - Phone:915-546-3900
Mailing Address - Fax:
Practice Address - Street 1:2431 MONTANA AVE STE 1
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-3635
Practice Address - Country:US
Practice Address - Phone:915-546-3900
Practice Address - Fax:915-546-3902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health