Castle Rest Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3301326N Issued in NY

Legal business name

CASTLE REST NURSING HOME

Practice address

116 E Castle St
Syracuse, NY 13205-1110

Phone

(315) 475-1641

Fax

(315) 478-0688

NPI assigned

Nov 25, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Louise Otoole Jr.

Title

Cfo

Phone

(315) 475-1641

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Vivian Teal Howard Residential Facility Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1023091840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E CASTLE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132051110",
            "telephone_number": "315-475-1641",
            "fax_number": "315-478-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E CASTLE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132051110",
            "telephone_number": "315-475-1641",
            "fax_number": "315-478-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE REST NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-25",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "OTOOLE",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "315-475-1641",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "3301326N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01992130",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00474415",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vivian Teal Howard Residential Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Lynn Castaldo, DO
• Sereia Castellanos Ross
• Ana Castelli
• Michael Gene Castello, DO
• Rachel Castillo, FNP
• Samuel Barton Castleberry, CASAC, LMSW
• Amanda Castrello, LMHC
• Andrea Castro
• Noel David Castro
• James Caswell, MD

• Skilled Nursing Facility in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.