Celestial Private Homecare LLC

Organization Active NPI Home Health Agency · Chamblee, GA

NPI 1164092607 · NPPES record last updated Nov 20, 2024

Key facts

NPI
1164092607
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
CELESTIAL PRIVATE HOMECARE LLC
Practice address
2900 Chamblee Tucker Rd Ste 100
Chamblee, GA 30341-4100
Phone
(770) 626-3865
Fax
(770) 626-3867
NPI assigned
Jun 28, 2021
Organization subpart
No

Authorized official

Name
Whitney Davis
Title
Administrator
Phone
(770) 626-3865

National Provider Directory

Locations

9442 S Main St
Ste 107
Jonesboro, GA 30236

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

2900 Chamblee Tucker Rd Ste 100
Chamblee, GA 30341-4100

Mailing address

9442 S Main St Ste 107
Jonesboro, GA 30236-6000
Phone (678) 972-4191

Other providers in Chamblee, GA

All providers in Chamblee, GA · Home Health Agency in Georgia

Sources for this page

Verify at the official NPI Registry.