MEDICARE: CASTILLO HELPING HANDS LLC

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1396317780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASTILLO HELPING HANDS LLC

Provider Business Mailing Address
First Line	:	3121 S CEDAR ST
Second Line	:
City	:	ZOLFO SPRINGS
State	:	FL
Zip	:	33890-9643
Country	:	US
Telephone Number	:	863-445-1621
Fax Number	:

Provider Business Practice Location Address
First Line	:	3121 S CEDAR ST
Second Line	:
City	:	ZOLFO SPRINGS
State	:	FL
Zip	:	33890-9643
Country	:	US
Telephone Number	:	863-445-1621
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARIA CASTILLO
Credential	:
Telephone Number	:	863-445-1621

Provider Enumeration Date	:	07/14/2021
Last Update Date	:	07/14/2021

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