Organization
SANDCASTLE CARE V LLC
Active
Other names
Sandcastle Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER CASTILLO (PRESIDENT)
(407) 454-4892
Entity
Organization
Contact information
Practice address
13940 N US HIGHWAY 441 STE 903, LADY LAKE, FL 32159-8954
(527) 720-0113
(888) 505-2782
Mailing address
PO BOX 90, WINTER PARK, FL 32790-0090
(888) 505-2782
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112246900
—
FL
Enumeration date
09/30/2020
Last updated
08/03/2022
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