Healthcare Provider Details

I. General information

NPI: 1679437057
Provider Name (Legal Business Name): CELESTIAL CHATEAU, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 W SAHARA AVE STE 206-14
LAS VEGAS NV
89102-5822
US

IV. Provider business mailing address

3601 W SAHARA AVE STE 206-14
LAS VEGAS NV
89102-5822
US

V. Phone/Fax

Practice location:
  • Phone: 702-473-0789
  • Fax:
Mailing address:
  • Phone: 702-473-0789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. EVE WILLIAMS
Title or Position: ADMINISTRATOR
Credential:
Phone: 702-473-0789