Active NPI
Le Celeste Homecare Inc
- Home Health Agency
- Garland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LE CELESTE HOMECARE INC
- Practice address
- 1919 S Shiloh Rd Ste 650
Garland, TX 75042-8217 - Phone
- (214) 227-9444
- Fax
- (469) 754-0311
- NPI assigned
- Nov 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mathew John
- Title
- Administrator
- Phone
- (214) 227-9444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1919 S Shiloh Rd Ste 650
Garland, TX 75042-8217
Mailing address
1919 S Shiloh Rd Ste 650
Garland, TX 75042-8217
Phone (214) 227-9444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140625001776 | TX | Part A Provider - Home Health Agency | 4486879905 | Practice locations: Garland, TX |
Home health agency certification: CCN 747951
- Legal name
- LE CELESTE HOMECARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 31, 2015
- Last certification
- Mar 2, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Nov 15, 2012 in TX
- Enrollment address
- 1919 S Shiloh Rd
Ste 650
Garland, TX 75042-8217
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Le Celeste Homecare Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 31, 2015
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2069217 | Le Celeste Homecare Inc | Certificate of waiver | Nov 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
3620 N Josey Ln
Ste 111
Carrollton, TX 75007
Phone (214) 277-9444
1919 S Shiloh Rd
Ste 309
Garland, TX 75042
1919 S Shiloh Rd
Garland, TX 75042
Phone (763) 222-5419
1919 S Shiloh Rd
Ste 520
Garland, TX 75042
1919 S Shiloh Rd
Ste 650
Garland, TX 75042
Phone (214) 227-9444
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Mathew John | W-2 Managing Employee | Aug 21, 2018 | |
| Operational/Managerial Control | Aug 21, 2018 | ||
| Alex John | 5% Or Greater Direct Ownership Interest | Oct 30, 2018 | 100% |
| Corporate Director | Oct 30, 2018 | 100% | |
| W-2 Managing Employee | Aug 21, 2018 | ||
| Operational/Managerial Control | Oct 30, 2018 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727740800000",
"number": "1063756880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 S SHILOH RD STE 650",
"city": "GARLAND",
"state": "TX",
"postal_code": "750428217",
"telephone_number": "214-227-9444",
"fax_number": "469-754-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 S SHILOH RD STE 650",
"city": "GARLAND",
"state": "TX",
"postal_code": "750428217",
"telephone_number": "214-227-9444",
"fax_number": "469-754-0311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LE CELESTE HOMECARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-16",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A",
"authorized_official_last_name": "JOHN",
"authorized_official_first_name": "MATHEW",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "214-227-9444"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.