Organization Active NPI

Celestial Care LLC

Doing business as Synergy HomeCare of Lee-Pontotoc

  • In Home Supportive Care Agency
  • Tupelo, MS
National Provider Identifier
1124699020
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CELESTIAL CARE LLC
Doing business as
Synergy HomeCare of Lee-Pontotoc
Practice address
398 E Main St Ste 115
Tupelo, MS 38804-4037
Phone
(662) 913-7590
NPI assigned
Jul 2, 2021
Last updated
Jun 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Shreka Knight
Title
Owner
Phone
(662) 913-7590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

398 E Main St Ste 115
Tupelo, MS 38804-4037

Mailing address

142 Timberlane Dr
Tupelo, MS 38801-7896
Phone (662) 523-8883

Other names 1

  • Synergy HomeCare of Lee-Pontotoc Doing business as

National Provider Directory

National Provider Directory

Locations

398 E Main St
Ste 115
Tupelo, MS 38804
Phone (662) 913-7590

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1124699020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 TIMBERLANE DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388017896",
            "telephone_number": "662-523-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 E MAIN ST STE 115",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388044037",
            "telephone_number": "662-913-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "SHREKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-913-7590",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare of Lee-Pontotoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.