Mi Casita Care Center

LBN: Convacare Inc
Mi Casita Care Center is an health care organization with primary practice located at 2400 Quaker Ave , Lubbock TX 79410-1834. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Convacare Inc can be contacted via phone (806) 792-2831, or through Ruble, Richard via phone (806) 780-7000.

Contact Information

Primary practice address
2400 Quaker Ave Lubbock TX 79410-1834
Phone: (806) 792-2831
Fax: (806) 792-5023
Website:
Map and Directions
Authorized official contact:
Name: Ruble, Richard
Phone: (806) 780-7000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 109037 Texas

Profile Details

NPI number 1639172877
LBN Legal business name Convacare Inc
DBA Doing business as Mi Casita Care Center
Authorized official Ruble, Richard
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Apr 29th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639172877 NPPES
Texas MEDICAID 171177201
Texas MEDICAID 4491
Texas MEDICAID 001001028

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