Healthcare Provider Details

I. General information

NPI: 1598686040
Provider Name (Legal Business Name): CASTLETON HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 PARKSIDE CLOSE
ALPHARETTA GA
30022-1437
US

IV. Provider business mailing address

2300 LAKEVIEW PARKWAY STE 700 #250
ALPHARETTA GA
30009-9066
US

V. Phone/Fax

Practice location:
  • Phone: 770-810-5974
  • Fax: 470-906-0632
Mailing address:
  • Phone: 770-810-5974
  • Fax: 470-906-0632

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: MR. JOHN RUSSELL BRITT JR.
Title or Position: OWNER, ADMINISTRATOR
Credential:
Phone: 770-810-5974