Provider Demographics
NPI:1538940457
Name:CASTLE, AMBER ROSE
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:ROSE
Last Name:CASTLE
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:PO BOX 85
Mailing Address - Street 2:
Mailing Address - City:NORTH STAR
Mailing Address - State:OH
Mailing Address - Zip Code:45350-0085
Mailing Address - Country:US
Mailing Address - Phone:937-423-1894
Mailing Address - Fax:
Practice Address - Street 1:13 PARK ST
Practice Address - Street 2:
Practice Address - City:NORTH STAR
Practice Address - State:OH
Practice Address - Zip Code:45350-6001
Practice Address - Country:US
Practice Address - Phone:937-423-1894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health