Provider Demographics
NPI:1528886975
Name:CASTILLO DONADO CORPORATION
Entity type:Organization
Organization Name:CASTILLO DONADO CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALVARO
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO DONADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-488-8722
Mailing Address - Street 1:2803 MCKINLEY RD UNIT D
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-5925
Mailing Address - Country:US
Mailing Address - Phone:703-488-8722
Mailing Address - Fax:
Practice Address - Street 1:207 N BOONE ST # 1350
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-5675
Practice Address - Country:US
Practice Address - Phone:703-488-8722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No174200000XOther Service ProvidersMeals
No251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)