Healthcare Provider Details

I. General information

NPI: 1023078763
Provider Name (Legal Business Name): CELEBRITY HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2006
Last Update Date: 09/12/2025
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14950 VENTURA BLVD
SHERMAN OAKS CA
91403-3455
US

IV. Provider business mailing address

14950 VENTURA BLVD
SHERMAN OAKS CA
91403-3455
US

V. Phone/Fax

Practice location:
  • Phone: 818-492-1700
  • Fax: 818-996-4001
Mailing address:
  • Phone: 818-492-1700
  • Fax: 818-996-4001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License NumberPENDING
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number980001020
License Number StateCA

VIII. Authorized Official

Name: MR. DAVID BUSTAN
Title or Position: CFO, CEO
Credential: ACCOUNTANT
Phone: 818-492-1700