NUESTRA CASA LLC NPI 1760257315

NPI Information

  • NPI: 1760257315
  • Provider Name: NUESTRA CASA LLC
  • Classification: Clinic/Center - 261QA0600X
  • Specialization: Adult Day Care
  • Entity Type: Organization
  • CLIA Number: 22D2312443
  • Address: 64 ROANOKE AVE
    WEST SPRINGFIELD, MA
    ZIP 01089
  • Phone: (630) 212-9145

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NPI Details

NUESTRA CASA LLC is an adult day care clinic center in West Springfield, MA. NUESTRA CASA LLC NPI is 1760257315. The provider is registered as an organization entity type.

The provider's business location address is:

64 ROANOKE AVE
WEST SPRINGFIELD, MA
ZIP 01089-710
Phone: (630) 212-9145

The provider's authorized official is Alex Eydinov .
The authorized official title is Administrator and has the following contact phone number (630) 212-9145.

The CLIA number assigned to this NPI record is 22D2312443 - other - adult day health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2023 and was last updated on 11/22/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA0600XClinic/CenterAdult Day CareYes

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: 11/21/2025

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