MEDICARE: CELESTIALCARE 3 LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	253Z00000X	In Home Supportive Care Agency
3	343900000X	Non-emergency Medical Transport (VAN)
4	347C00000X	Private Vehicle
5	3747P1801X	Personal Care Attendant
6	376J00000X	Homemaker

General Provider Information

NPI Number	:	1851254569
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CELESTIALCARE 3 LLC

Provider Business Mailing Address
First Line	:	6484 SMITH RD
Second Line	:
City	:	LOVELAND
State	:	OH
Zip	:	45140-6543
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6484 SMITH RD
Second Line	:
City	:	LOVELAND
State	:	OH
Zip	:	45140-6543
Country	:	US
Telephone Number	:	513-725-4105
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DIRECTOR OF OPERATIONS
Name	:	CAROLYN A FRY
Credential	:
Telephone Number	:	513-725-4105

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “CELESTIALCARE 3 LLC ” Practice Location

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