Provider Demographics
NPI:1528489705
Name:CASA HOME CARE, INC
Entity type:Organization
Organization Name:CASA HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-474-8063
Mailing Address - Street 1:100 SCALES PLZ
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-4303
Mailing Address - Country:US
Mailing Address - Phone:201-474-8063
Mailing Address - Fax:201-905-8050
Practice Address - Street 1:100 SCALES PLZ
Practice Address - Street 2:SUITE 100
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-4303
Practice Address - Country:US
Practice Address - Phone:201-474-8063
Practice Address - Fax:201-905-8050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-14
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0116100251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health