Castle Home Modification LLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

CASTLE HOME MODIFICATION LLC

Practice address

102 S Main St
Convoy, OH 45832-7710

Phone

(419) 749-2022

Fax

(419) 749-2022

NPI assigned

Jan 14, 2016

Organization subpart

No

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

Authorized official

Name

Brenda Castle

Title

Member

Phone

(419) 749-2022

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1770949133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "address_2": "102 S. MAIN ST.",
            "city": "CONVOY",
            "state": "OH",
            "postal_code": "458320038",
            "telephone_number": "419-749-2022",
            "fax_number": "419-749-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MAIN ST",
            "city": "CONVOY",
            "state": "OH",
            "postal_code": "458327710",
            "telephone_number": "419-749-2022",
            "fax_number": "419-749-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE HOME MODIFICATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "419-749-2022"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100374",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Ann Baker
• Whitney Bollenbacher, MA CCC-SLP
• Kimberly Marie Christenson, PTA
• Leslie Ann Collins
• Lisa R Cox
• Crestview Local School District
• Deaconess Long Term Care of Ohio, Inc.

• Home Modifications Contractor in Convoy, OH
• Providers in Convoy, OH by specialty
• Home Modifications Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.