Provider Demographics
NPI:1932755410
Name:KASTIN HOME CARE LLC
Entity Type:Organization
Organization Name:KASTIN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:O'CONNOR
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:303-618-9611
Mailing Address - Street 1:4800 HAPPY CANYON RD STE 130
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1073
Mailing Address - Country:US
Mailing Address - Phone:303-955-7018
Mailing Address - Fax:303-537-4123
Practice Address - Street 1:4800 HAPPY CANYON RD STE 130
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1073
Practice Address - Country:US
Practice Address - Phone:303-955-7018
Practice Address - Fax:303-537-4123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care