CASA DE AMISTAD INC. NPI 1841360542

NPI Information

NPI: 1841360542
Provider Name: CASA DE AMISTAD, INC.

Former Legal Business Name: CASA DE AMISTAD ADULT DAY CARE

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
1933 FREDERICKSBURG RD
SUITE 101
SAN ANTONIO, TX
ZIP 78201
Phone: (210) 737-6955
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CASA DE AMISTAD, INC. is an adult day care clinic center in San Antonio, TX. CASA DE AMISTAD, INC. NPI is 1841360542. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Casa De Amistad Adult Day Care.

The provider's business location address is:

1933 FREDERICKSBURG RD
SUITE 101
SAN ANTONIO, TX
ZIP 78201-457
Phone: (210) 737-6955
Fax: (210) 737-6956

The provider's authorized official is Mariela Angulo .
The authorized official title is Director and has the following contact phone number (210) 737-6955.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 10/22/2018.

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
1	311Z00000X	Custodial Care Facility		118537	TEXAS	No
2	261QA0600X	Clinic/Center	Adult Day Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001000719	MEDICAID	TEXAS
2	147970	MEDICAID	TEXAS

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

NPI Synchronization or Removal

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