=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508471855
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CELEBRITY HOME HEALTH CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/14/2020
-----------------------------------------------------
Last Update Date | 11/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2455 COLORADO BLVD STE 10
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90041-1170
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 213-596-2606
-----------------------------------------------------
Fax | 747-250-8534
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2455 COLORADO BLVD STE 10
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90041-1170
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 213-596-2606
-----------------------------------------------------
Fax | 747-250-8534
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | REINEIR JIZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 213-596-2606
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------