Provider Demographics
NPI:1275136335
Name:SPECIALTY INFUSIONS NURSING CARE
Entity Type:Organization
Organization Name:SPECIALTY INFUSIONS NURSING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:442-295-9102
Mailing Address - Street 1:14664 MARIGOLD RD
Mailing Address - Street 2:
Mailing Address - City:ORO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:92368-9553
Mailing Address - Country:US
Mailing Address - Phone:619-438-5264
Mailing Address - Fax:833-945-1164
Practice Address - Street 1:222 E MAIN ST STE 216
Practice Address - Street 2:
Practice Address - City:BARSTOW
Practice Address - State:CA
Practice Address - Zip Code:92311-2366
Practice Address - Country:US
Practice Address - Phone:442-295-9102
Practice Address - Fax:833-245-1164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion