Provider Demographics
NPI:1073648283
Name:CASTILLO & CASTILLO INC
Entity Type:Organization
Organization Name:CASTILLO & CASTILLO INC
Other - Org Name:COMPASSION ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-424-1633
Mailing Address - Street 1:PO BOX 203
Mailing Address - Street 2:
Mailing Address - City:PENITAS
Mailing Address - State:TX
Mailing Address - Zip Code:78576-0203
Mailing Address - Country:US
Mailing Address - Phone:956-424-1633
Mailing Address - Fax:956-424-3021
Practice Address - Street 1:1004 EAST EXPRESSWAY 83
Practice Address - Street 2:SUITE A & B
Practice Address - City:PENITAS
Practice Address - State:TX
Practice Address - Zip Code:78576-0203
Practice Address - Country:US
Practice Address - Phone:956-424-1633
Practice Address - Fax:956-424-3021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113235261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113235OtherTEXAS LICENSE #