Provider Demographics
NPI:1922248046
Name:CASTLE GROVE PROPERTIES
Entity Type:Organization
Organization Name:CASTLE GROVE PROPERTIES
Other - Org Name:LINNWOOD PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATOR/GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:RICH-FORBES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-250-0313
Mailing Address - Street 1:1509 LINN ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY FALLS
Mailing Address - State:KS
Mailing Address - Zip Code:66088-1185
Mailing Address - Country:US
Mailing Address - Phone:785-945-3634
Mailing Address - Fax:785-945-3682
Practice Address - Street 1:1509 LINN ST
Practice Address - Street 2:
Practice Address - City:VALLEY FALLS
Practice Address - State:KS
Practice Address - Zip Code:66088-1185
Practice Address - Country:US
Practice Address - Phone:785-945-3634
Practice Address - Fax:785-945-3682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSB044003311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home