Provider Demographics
NPI:1669753919
Name:CASTO & WAYNE HOMECARE LLC
Entity type:Organization
Organization Name:CASTO & WAYNE HOMECARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:WAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-762-7820
Mailing Address - Street 1:312 WALNUT ST
Mailing Address - Street 2:SUITE 1600
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-4024
Mailing Address - Country:US
Mailing Address - Phone:513-762-7820
Mailing Address - Fax:513-334-0829
Practice Address - Street 1:312 WALNUT ST
Practice Address - Street 2:SUITE 1600
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-4024
Practice Address - Country:US
Practice Address - Phone:513-762-7820
Practice Address - Fax:513-334-0829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care