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CASA INC. NPI 1902090285


NPI Information

NPI: 1902090285
Provider Name: CASA, INC.
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
741 WARREN AVE
PORTLAND, ME
ZIP 04103
Phone: (207) 879-6165
Get Directions

CASA, INC. is an adult care home custodial care facility in Portland, ME. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. CASA, INC. NPI is 1902090285. The provider is registered as an organization entity type.

The provider's business location address is:

741 WARREN AVE
PORTLAND, ME
ZIP 04103-007
Phone: (207) 879-6165
Fax: (207) 879-7466

The provider's authorized official is Anne D Walp .
The authorized official title is Executive Director and has the following contact phone number (207) 879-6165.

The enumeration date for this NPI number is 8/30/2007 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311Z00000XCustodial Care FacilityMAINENo
2315P00000XIntermediate Care Facility, Intellectual Disabilities36670MAINENo
3311ZA0620XCustodial Care FacilityAdult Care HomeMAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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