MEDICARE: VICTORIA M CASTELLANOS-GREEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3104A0625X	Assisted Living Facility (Mental Illness)		MI

General Provider Information

NPI Number	:	1063361152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA M CASTELLANOS-GREEN

Provider Business Mailing Address
First Line	:	35775 SUSSEX CT
Second Line	:
City	:	ROMULUS
State	:	MI
Zip	:	48174-6335
Country	:	US
Telephone Number	:	313-995-6238
Fax Number	:

Provider Business Practice Location Address
First Line	:	19506 PATTON ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48219-2053
Country	:	US
Telephone Number	:	313-995-6238
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

Similar Medicare Providers

1598615742 — SANTANA MANUEL GREEN
Practice Location Address:

19506 PATTON ST
DETROIT, MI
48219-2053

Practice Phone: 313-516-4176
Practice Fax:

1245189307 — ANTOINE DANIELLE GREENM
Practice Location Address:

19506 PATTON ST
DETROIT, MI
48219-2053

Practice Phone: 313-516-4176
Practice Fax:

1841149440 — GREEN HEART HOME CARE AGENCY LLC
Practice Location Address:

19301 HOUGHTON ST
DETROIT, MI
48219-1825

Practice Phone: 248-234-1544
Practice Fax:

1194684449 — BRIANNA L VAUGHN
Practice Location Address:

18321 GLASTONBURY RD
DETROIT, MI
48219-2913

Practice Phone: 313-635-4253
Practice Fax:

1972452902 — JACOB STANTON
Practice Location Address:

24424 W MCNICHOLS RD
DETROIT, MI
48219-3653

Practice Phone: 313-531-2500
Practice Fax:

1962351908 — ISABELLA MAMMEL
Practice Location Address:

24424 W MCNICHOLS RD
DETROIT, MI
48219-3653

Practice Phone: 313-531-2500
Practice Fax:

Directions to “ VICTORIA M CASTELLANOS-GREEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.