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CASA GRANDE SR. CARE HOME NPI 1497992895


NPI Information

NPI: 1497992895
Provider Name: CASA GRANDE SR. CARE HOME

Other Name: CASA GRANDE SR. CARE HOME & ASSISTED LIVING

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
347 E WALNUT AVE
VISALIA, CA
ZIP 93277
Phone: (559) 733-0233
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CASA GRANDE SR. CARE HOME is a community based residential treatment facility mental illness in Visalia, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. CASA GRANDE SR. CARE HOME NPI is 1497992895. The provider is registered as an organization entity type.
The provider Other Name Is Casa Grande Sr. Care Home & Assisted Living.

The provider's business location address is:

347 E WALNUT AVE
VISALIA, CA
ZIP 93277-458
Phone: (559) 733-0233
Fax: (559) 733-7503

The provider's authorized official is Lisamarie Silveira Reimer .
The authorized official title is Jr. Administrator and has the following contact phone number (559) 733-0233.

The enumeration date for this NPI number is 1/7/2009 and was last updated on 1/7/2009.


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
1320800000XCommunity Based Residential Treatment Facility, Mental Illness540404321CALIFORNIANo
2323P00000XPsychiatric Residential Treatment FacilityNo
3320800000XCommunity Based Residential Treatment Facility, Mental Illness540405657CALIFORNIAYes

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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