MEDICARE: CELESTIAL CHATEAU, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1679437057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CELESTIAL CHATEAU, LLC

Provider Business Mailing Address
First Line	:	3601 W SAHARA AVE STE 206-14
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-5822
Country	:	US
Telephone Number	:	702-473-0789
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 W SAHARA AVE STE 206-14
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-5822
Country	:	US
Telephone Number	:	702-473-0789
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. EVE WILLIAMS
Credential	:
Telephone Number	:	702-473-0789

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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