CASA SAN MIGUEL, LLC


Address: 1403 San Miguel Ave., Santa Barbara, CA 73109
Phone: 8059631214

CASA SAN MIGUEL, LLC (NPI# 1770819021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770819021
Entity Type Organization
Organization Name CASA SAN MIGUEL, LLC
Practice Address 1403 San Miguel Ave.
Santa Barbara
CA 73109
Practice Telephone 8059631214
Mailing Telephone 8059631214
Mailing Fax Number 8059639087
Enumeration Date 2009-10-21
Last Update Date 2009-10-21
Authorized Official Name EKATERINA V. ZAMYATINA (OWNER/ADMINISTRATOR)
Authorized Official Telephone 8059631214
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility 425801626 CA Nursing & Custodial Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922401421 Casa San Miguel, LLC Assisted Living Facility 908 Via Los Padres, Santa Barbara, CA 93111-1326 2014-09-29
1023411519 Casa San Miguel, LLC Assisted Living Facility 2215 Saint James Dr, Santa Barbara, CA 93105-4629 2014-09-29

Office Location

Street Address 1403 SAN MIGUEL AVE.
City SANTA BARBARA
State CA
Zip Code 73109

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NPI Name Taxonomy Address Enumeration
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1659828648 Cynthia Jane Laney Registered Nurse 4401 South Western, Oklahoma City, OK 73109 2016-09-07
1497104780 Hazel Soto Case Manager/Care Coordinator 420 Sw, St, Oklahoma, OK 73109 2016-06-07
1063873677 Ardeceley Brandi Annette Hernandez Community/Behavioral Health 5714 S. Western Ave, Oklahoma City, OK 73109 2016-03-09
1316343908 Van Ngo Nurse Practitioner 4413 South Lee Ave, Oklahoma City, OK 73109 2014-11-10
1104249150 Janessa Ladawn Bointy Counselor 5359 S. Western Ave. #707, Oklahoma City, OK 73109 2014-01-28
1033540299 Bryan Graham Case Manager/Care Coordinator 1111 Sw 28th St, Oklahoma City, OK 73109 2013-12-12
1154684603 Nubia Fiesel Counselor 420 Sw 10th Street, Oklahoma City, OK 73109 2012-06-20
1548533664 C.c. Freeman, Md. Inc Internal Medicine 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 2012-02-21
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336693100 Edelweiss Home Inc. Assisted Living Facility 296 Pebble Hill Dr, Santa Barbara, CA 93111-1917 2016-08-10
1063872521 Casa Bel Air, LLC Dba Casa Cambria Assisted Living Facility 1212 Bel Air Dr, Santa Barbara, CA 93105-4602 2016-02-26
1437523263 Danelles Guest Home Assisted Living Facility 4866 Frances St, Santa Barbara, CA 93111-2822 2015-11-17
1124402052 Capital Senior Management 2, Inc. Assisted Living Facility 227 E Anapamu St, Santa Barbara, CA 93101-2005 2015-07-09
1841677176 Oak Cottage Operator, LLC Assisted Living Facility 1820 De La Vina St, Santa Barbara, CA 93101-2815 2015-05-06
1497132153 Above All Care, LLC Assisted Living Facility 3620 La Entrada, Santa Barbara, CA 93105-4511 2015-05-01
1447643135 Mesa Care Assisted Living Facility 2424 Calle Soria, Santa Barbara, CA 93109-1144 2015-03-05
1316343015 Comforts of Home Senior Care Assisted Living Facility 16 San Dimas Ave, Santa Barbara, CA 93111-2114 2014-11-07
1700281441 Tree of Life Assisted Living Facility 924 Via Los Padres, Santa Barbara, CA 93111-1326 2014-10-23
1922401421 Casa San Miguel, LLC Assisted Living Facility 908 Via Los Padres, Santa Barbara, CA 93111-1326 2014-09-29
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Competitor

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City SANTA BARBARA
Zip Code 73109

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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