# CASITA HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770283418
- **Authorized official:** KEVIN JAMES CAUDILL (OWNER)
- **Authorized official phone:** (505) 730-5550

## Contact information

- **Practice address:** 5141 GEORGIA PL NE, RIO RANCHO, NM 87144-6483
- **Practice address phone:** (505) 610-6512
- **Mailing address:** 848 CAMINO VISTA RIO, BERNALILLO, NM 87004-6098
- **Mailing address phone:** (505) 730-5550
- **Mailing address fax:** (505) 465-9111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/09/2023
- **Last updated:** 03/09/2023