Othello Senior Care LLC.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

OTHELLO SENIOR CARE LLC.

Practice address

520 Rose Dr
Othello, WA 99344-1867

Phone

(509) 488-9556

Fax

(509) 488-6081

NPI assigned

Jul 30, 2026

Organization subpart

No

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

Authorized official

Name

Diana Edith Castillo

Title

Administrator

Phone

(509) 346-7734

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1326961202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 ROSE DR",
            "city": "OTHELLO",
            "state": "WA",
            "postal_code": "993441867",
            "telephone_number": "509-488-9556",
            "fax_number": "509-488-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ROSE DR",
            "city": "OTHELLO",
            "state": "WA",
            "postal_code": "993441867",
            "telephone_number": "509-488-9556",
            "fax_number": "509-488-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTHELLO SENIOR CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "EDITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-346-7734"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Ochoa
• Othello Chiropractic PS
• Othello Dental Arts Clinic, P.S.
• Othello Nursing & Rehab LLC
• Othello School District
• Karen Palmer, LPN
• Marysol Ozuna Parrish, ATC
• Rebecca Pendell, LMHC
• Derrick J Perkes, LMP
• Mark Eugene Petersen, PHARMD

• Adult Care Home Facility in Othello, WA
• Providers in Othello, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.