Provider Demographics
NPI:1679145759
Name:CASTLE HOME CARE SERVICES
Entity Type:Organization
Organization Name:CASTLE HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:OLUWASEUN
Authorized Official - Middle Name:
Authorized Official - Last Name:OKUNOWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:234-380-0415
Mailing Address - Street 1:17839 MACHAIR LN
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-7881
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17839 MACHAIR LN
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-7881
Practice Address - Country:US
Practice Address - Phone:234-380-0415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care