Provider Demographics
NPI:1184240525
Name:CARE CASTLE ALF LLC
Entity type:Organization
Organization Name:CARE CASTLE ALF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADEDOYIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-967-8236
Mailing Address - Street 1:9110 STAR TRL
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34654-2542
Mailing Address - Country:US
Mailing Address - Phone:727-232-4192
Mailing Address - Fax:727-378-3077
Practice Address - Street 1:9110 STAR TRL
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34654-2542
Practice Address - Country:US
Practice Address - Phone:727-232-4192
Practice Address - Fax:727-378-3077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility