Organization Active NPI

Castle Country Assisted Living, Inc.

  • Assisted Living Facility
  • Castle Rock, CO
National Provider Identifier
1093988412
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CASTLE COUNTRY ASSISTED LIVING, INC.
Practice address
221 Cantril St
Castle Rock, CO 80104-2605
Phone
(303) 688-8186
Fax
(303) 660-2269
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Mrs. Barbara D Dice, R.N.
Title
Executive Director
Phone
(303) 380-1338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X CO Primary

Addresses

Primary practice location

221 Cantril St
Castle Rock, CO 80104-2605

Mailing address

255 S Valley Dr
Castle Rock, CO 80104-2911
Phone (303) 814-0668

Other identifiers 1

IdentifierTypeStateIssuer
04181772MedicaidCO

Other names 1

  • Cantril House Other name

National Provider Directory

National Provider Directory
Tax ID family
Cantril House3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1093988412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S VALLEY DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042911",
            "telephone_number": "303-814-0668",
            "fax_number": "303-814-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 CANTRIL ST",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042605",
            "telephone_number": "303-688-8186",
            "fax_number": "303-660-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE COUNTRY ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "DICE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-380-1338",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04181772",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cantril House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.