Healthcare Provider Details

I. General information

NPI: 1952225757
Provider Name (Legal Business Name): CASTILLO HARRIS VENTURES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 E PALM CANYON DR UNIT 102
PALM SPRINGS CA
92264-9167
US

IV. Provider business mailing address

1020 E PALM CANYON DR UNIT 102
PALM SPRINGS CA
92264-9167
US

V. Phone/Fax

Practice location:
  • Phone: 847-917-6289
  • Fax: 847-917-6289
Mailing address:
  • Phone: 847-917-6289
  • Fax: 847-917-6289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY CASTILLO
Title or Position: PRESIDENT
Credential:
Phone: 847-917-6289