Provider Demographics
NPI:1811786767
Name:CASA DE SALUD HOUSE OF HEALTH LLC
Entity type:Organization
Organization Name:CASA DE SALUD HOUSE OF HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELSIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:775-343-9844
Mailing Address - Street 1:1155 W 4TH ST STE 213
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-5149
Mailing Address - Country:US
Mailing Address - Phone:775-535-6607
Mailing Address - Fax:775-204-9774
Practice Address - Street 1:1155 W 4TH ST STE 213
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-5149
Practice Address - Country:US
Practice Address - Phone:775-535-6607
Practice Address - Fax:775-204-9774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care