Celestial Private Homecare LLC
Home Health in Chamblee, GA. Organization (NPI-2).
NPI number1164092607
StatusActive
Last updated in NPPESNov 20, 2024
Details
- NPI
- 1164092607
- Entity type
- Organization (NPI-2)
- Legal business name
- Celestial Private Homecare LLC
- Organization subpart
- No
- Enumeration date
- Jun 28, 2021
- Certification date
- Nov 20, 2024
- Last updated
- Nov 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – |
Practice location
2900 Chamblee Tucker Rd Ste 100Chamblee, GA 30341-4100
Phone 770-626-3865 · Fax 770-626-3867
Mailing address
9442 S Main St Ste 107Jonesboro, GA 30236-6000
Phone 678-972-4191 · Fax 770-626-3867
Authorized official
Whitney Davis
Administrator
7706263865
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