Organization
CASA HEALTH CARE INC
Active
Other names
Casa #1
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSA RAMIREZ (OWNER ADMINISTRATOR)
(909) 949-4306
Entity
Organization
Contact information
Practice address
85 W 17TH ST, UPLAND, CA 91784-1935
(909) 949-4306
(909) 949-4005
Mailing address
1372 N 2ND AVE, UPLAND, CA 91786-3222
(909) 946-7242
(909) 949-4005
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
24000030730
CA
313M00000X
Nursing Facility/Intermediate Care Facility
24000030763
CA
313M00000X
Nursing Facility/Intermediate Care Facility
24000030837
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC80248F
—
CA
05
—
LTC80289F
—
CA
05
—
LTC80318F
—
CA
Enumeration date
02/26/2007
Last updated
08/22/2020
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