NPI Information

  • NPI: 1659242626
  • Provider Name: BANYAN CASTLE ROCK, LLC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 1055 S PERRY ST
    CASTLE ROCK, CO
    ZIP 80104
  • Phone: (303) 381-8340

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NPI Details

BANYAN CASTLE ROCK, LLC is a community based residential treatment facility mental illness in Castle Rock, CO. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. BANYAN CASTLE ROCK, LLC NPI is 1659242626. The provider is registered as an organization entity type.

The provider's business location address is:

1055 S PERRY ST
CASTLE ROCK, CO
ZIP 80104-949
Phone: (303) 381-8340
Fax: (303) 381-8341

The provider's authorized official is Anastasia Nichole Nauman .
The authorized official title is Contracting And Credentialing Manag and has the following contact phone number (954) 533-7705.

The enumeration date for this NPI number is 9/15/2025 and was last updated on 9/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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