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General NPI Number Information
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NPI Number | 1346896776
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Entity Type | Organization
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Legal Business Name | CELESTIAL HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 08/12/2019
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 234 N WESTMONTE DR STE 1040
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-3373
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Country | US
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Telephone | 917-400-7420
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Fax |
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Provider Business Mailing Address
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Address Line | 234 N WESTMONTE DR STE 1040
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-3373
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Country | US
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Telephone | 917-400-7420
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JASON SAINT LOUIS
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Credential |
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Telephone | 917-400-7420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health
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License Number |
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License Number State |
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