Provider Demographics
NPI:1548336415
Name:CASTLE NURSING HOMES, INC.
Entity type:Organization
Organization Name:CASTLE NURSING HOMES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:V. P. FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROCHELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-674-0015
Mailing Address - Street 1:434 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MILLERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44654-1188
Mailing Address - Country:US
Mailing Address - Phone:330-674-0015
Mailing Address - Fax:330-674-4914
Practice Address - Street 1:434 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MILLERSBURG
Practice Address - State:OH
Practice Address - Zip Code:44654-1188
Practice Address - Country:US
Practice Address - Phone:330-674-0015
Practice Address - Fax:330-763-2206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2118550Medicaid