Provider Demographics
NPI:1730259912
Name:CASA LINDA HOMECARE, INC.
Entity type:Organization
Organization Name:CASA LINDA HOMECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:210-349-5515
Mailing Address - Street 1:5555 FREDERICKSBURG RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3500
Mailing Address - Country:US
Mailing Address - Phone:210-349-5515
Mailing Address - Fax:210-349-0444
Practice Address - Street 1:5555 FREDERICKSBURG RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3500
Practice Address - Country:US
Practice Address - Phone:210-349-5515
Practice Address - Fax:210-349-0444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X
TX005415251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001001263Medicaid
TX001001264Medicaid