Sandcastle Care V LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SANDCASTLE CARE V LLC

Doing business as

Sandcastle Homecare

Practice address

13940 N US Highway 441 Ste 903
Lady Lake, FL 32159-8954

Phone

(527) 720-0113

Fax

(888) 505-2782

NPI assigned

Sep 30, 2020

Organization subpart

No

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

Authorized official

Name

Alexander Castillo

Title

President

Phone

(407) 454-4892

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sandcastle Homecare Doing business as

Locations

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1417564691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327900090",
            "fax_number": "888-505-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13940 N US HIGHWAY 441 STE 903",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598954",
            "telephone_number": "527-720-0113",
            "fax_number": "888-505-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDCASTLE CARE V LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-454-4892"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112246900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandcastle Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sandcastle Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Lady Lake, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.