Provider Demographics
NPI:1710148887
Name:CASTLE ROCK CARE CENTER
Entity Type:Organization
Organization Name:CASTLE ROCK CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MORGAN
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:720-435-3135
Mailing Address - Street 1:6080 BLUE RIDGE DR
Mailing Address - Street 2:APT. E
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-3657
Mailing Address - Country:US
Mailing Address - Phone:720-435-3135
Mailing Address - Fax:
Practice Address - Street 1:6080 BLUE RIDGE DR
Practice Address - Street 2:APT. E
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130-3657
Practice Address - Country:US
Practice Address - Phone:720-435-3135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-21
Last Update Date:2008-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO01082761314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility