MEDICARE: CELEBRATE HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1376230920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CELEBRATE HOME CARE LLC

Provider Business Mailing Address
First Line	:	2241 SAWBURY BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-1818
Country	:	US
Telephone Number	:	614-900-0025
Fax Number	:

Provider Business Practice Location Address
First Line	:	2241 SAWBURY BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-1818
Country	:	US
Telephone Number	:	614-900-0025
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	ALMAS TAIZHANOV
Credential	:
Telephone Number	:	614-736-4747

Provider Enumeration Date	:	04/21/2023
Last Update Date	:	04/21/2023

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Directions to “CELEBRATE HOME CARE LLC ” Practice Location

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