Healthcare Provider Details

I. General information

NPI: 1891739843
Provider Name (Legal Business Name): CASTLE NURSING HOMES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 05/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6180 STATE ROUTE 83
MILLERSBURG OH
44654-9463
US

IV. Provider business mailing address

6967 DEER TRAIL AVE NE
CANTON OH
44721-2069
US

V. Phone/Fax

Practice location:
  • Phone: 330-674-0015
  • Fax: 330-763-2225
Mailing address:
  • Phone: 330-936-7158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number5044
License Number StateOH

VIII. Authorized Official

Name: JOE ALTIERI
Title or Position: PRESIDENT
Credential:
Phone: 330-936-7158