Provider Demographics
NPI:1902390669
Name:CASTOR HOME NURSING INC
Entity Type:Organization
Organization Name:CASTOR HOME NURSING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NIRMALA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SAKTHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-279-9177
Mailing Address - Street 1:417 E 3RD ST STE A
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:IL
Mailing Address - Zip Code:61081-3701
Mailing Address - Country:US
Mailing Address - Phone:815-564-0977
Mailing Address - Fax:815-718-6594
Practice Address - Street 1:417 E 3RD ST STE A
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:IL
Practice Address - Zip Code:61081-3701
Practice Address - Country:US
Practice Address - Phone:815-564-0977
Practice Address - Fax:815-718-6594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 251E00000X, 253Z00000X
IL4000599364SH0200X, 163WH0200X
IL3001711374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome HealthGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL3001711Medicaid
IL4000599Medicaid