CASTLE HOME MODIFICATION LLC NPI 1770949133

NPI Information

NPI: 1770949133
Provider Name: CASTLE HOME MODIFICATION LLC
Classification: Contractor - 171WH0202X
Entity Type: Organization

Specialization: Home Modifications

Address:
102 S MAIN ST
CONVOY, OH
ZIP 45832
Phone: (419) 749-2022
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CASTLE HOME MODIFICATION LLC is a home modifications contractor in Convoy, OH. CASTLE HOME MODIFICATION LLC NPI is 1770949133. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

102 S MAIN ST
CONVOY, OH
ZIP 45832-710
Phone: (419) 749-2022
Fax: (419) 749-2022

The provider's authorized official is Brenda Castle .
The authorized official title is Member and has the following contact phone number (419) 749-2022.

The enumeration date for this NPI number is 1/14/2016 and was last updated on 1/14/2016.

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
1	171WH0202X	Contractor	Home Modifications			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0100374	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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