Healthcare Provider Details

I. General information

NPI: 1154198315
Provider Name (Legal Business Name): CELEBRATION HOME HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2023
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 GEORGE ST STE 320
NEW BRUNSWICK NJ
08901-2091
US

IV. Provider business mailing address

317 GEORGE ST STE 320
NEW BRUNSWICK NJ
08901-2091
US

V. Phone/Fax

Practice location:
  • Phone: 732-688-1735
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: GERWIN GABRIEL
Title or Position: OWNER, PRESIDENT
Credential:
Phone: 732-688-1735