Provider Demographics
NPI:1164228052
Name:BAILEY CASTILLO, MARIA ANTONIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ANTONIA
Last Name:BAILEY CASTILLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 S 24TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-3009
Mailing Address - Country:US
Mailing Address - Phone:402-617-7489
Mailing Address - Fax:
Practice Address - Street 1:2030 S 24TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-3009
Practice Address - Country:US
Practice Address - Phone:402-617-7489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No171R00000XOther Service ProvidersInterpreter
No172A00000XOther Service ProvidersDriver
No174200000XOther Service ProvidersMeals
No251E00000XAgenciesHome Health
No347C00000XTransportation ServicesPrivate Vehicle
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant