Organization Name: | CASA MEDIO, INC |
NPI Number: | 1144523432 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD HEATH (DIRECTOR) |
Mailing Address: | 8410 Highway 90a Suite 170 Sugar Land |
State: | TX US |
Postal Code: | 774783188 |
Phone Number: | 2812354075 |
Fax Number: | 2812403064 |
NPI Enumeration Date: | 12/08/2010 |
NPI Last Update Date: | 04/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 13324 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |