Provider Demographics
NPI:1003043290
Name:CASTLE VENTURES, INC.
Entity Type:Organization
Organization Name:CASTLE VENTURES, INC.
Other - Org Name:RIGHT AT HOME # 48
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-396-9000
Mailing Address - Street 1:513 W. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:W. DUNDEE
Mailing Address - State:IL
Mailing Address - Zip Code:60118
Mailing Address - Country:US
Mailing Address - Phone:847-396-9000
Mailing Address - Fax:847-396-9070
Practice Address - Street 1:513 W. MAIN ST.
Practice Address - Street 2:
Practice Address - City:W. DUNDEE
Practice Address - State:IL
Practice Address - Zip Code:60118
Practice Address - Country:US
Practice Address - Phone:847-396-9000
Practice Address - Fax:847-396-9070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1919683253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care