Organization Active NPI

Le Celeste Homecare Inc

  • Home Health Agency
  • Garland, TX
National Provider Identifier
1063756880
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Oct 1, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 747951
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Mar 31, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2069217Le Celeste Homecare Inc1919 S Shiloh Road Suite 650, Garland, TX 75042Certificate of waiverNov 19, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Mathew John Individual W-2 Managing Employee Aug 21, 2018
Operational/Managerial ControlAdministrator Aug 21, 2018
Alex John Individual 5% Or Greater Direct Ownership Interest Oct 30, 2018 100%
Corporate DirectorPresident Oct 30, 2018 100%
W-2 Managing Employee Aug 21, 2018
Operational/Managerial ControlPresident 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

Verify at the official NPI Registry.