1164092607 NPI number — CELESTIAL PRIVATE HOMECARE LLC

Table of content: (NPI 1164092607)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164092607 NPI number — CELESTIAL PRIVATE HOMECARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CELESTIAL PRIVATE HOMECARE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164092607
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/20/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9442 S MAIN ST STE 107
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JONESBORO
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30236-6000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
678-972-4191
Provider Business Mailing Address Fax Number:
770-626-3867

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2900 CHAMBLEE TUCKER RD STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAMBLEE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30341-4100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-626-3865
Provider Business Practice Location Address Fax Number:
770-626-3867
Provider Enumeration Date:
06/28/2021

Additional Information

Authorized Official

Authorized Official Last Name:
DAVIS
Authorized Official First Name:
WHITNEY
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
770-626-3865

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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