Provider Demographics
NPI:1861529257
Name:CASTLE HILL ADULT DAY HEALTH CENTER, INC.
Entity type:Organization
Organization Name:CASTLE HILL ADULT DAY HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:R
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-372-8734
Mailing Address - Street 1:PO BOX 404
Mailing Address - Street 2:
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-0404
Mailing Address - Country:US
Mailing Address - Phone:978-372-8734
Mailing Address - Fax:978-521-2224
Practice Address - Street 1:180 OLD WESTFORD RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1251
Practice Address - Country:US
Practice Address - Phone:978-250-1121
Practice Address - Fax:978-250-3840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1902156372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1902156Medicaid