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General NPI Number Information
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NPI Number | 1336181635
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Entity Type | Organization
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Legal Business Name | CELESTIAL CARE HEALTH SYSTEMS INC.
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2901 DRUID PARK DR SUITE 300
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City | BALTIMORE
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State | MD
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Zip | 21215-8102
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Country | US
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Telephone | 410-225-7735
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Fax | 410-523-1211
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Provider Business Mailing Address
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Address Line | 2901 DRUID PARK DR SUITE 300
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City | BALTIMORE
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State | MD
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Zip | 21215-8102
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Country | US
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Telephone | 410-225-7735
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Fax | 410-523-1211
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EMMANUEL & IFEOMA IROANYA
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Credential |
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Telephone | 410-225-7735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number | R2099
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number | R2099
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License Number State | MD
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