Active NPI
Celebrity Home Health Partners, LLC
- Home Health Agency
- St Louis Park, MN
National Provider Identifier
1215245113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CELEBRITY HOME HEALTH PARTNERS, LLC
- Practice address
- 5775 Wayzata Blvd
Suite 700
St Louis Park, MN 55416-1222 - Phone
- (612) 706-0910
- NPI assigned
- Sep 14, 2010
- 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
- Ms. Ellen Crayton, MBA
- Title
- Executive Director
- Phone
- (612) 799-6508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5775 Wayzata Blvd
Suite 700
St Louis Park, MN 55416-1222
Mailing address
5775 Wayzata Blvd
Suite 700
St Louis Park, MN 55416-1222
Phone (612) 706-0910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 348032 | Other | MN | MN DHS CLASS A PROFESSIONAL HOME CARE AGENCY LICENSE |
Other names 1
- Karuna Healthcare US, LLC
National Provider Directory
National Provider Directory- Tax ID family
- Celebrity Home Health Partners LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- St Louis Park, MN
- NPI 1467778670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284422400000",
"number": "1215245113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5775 WAYZATA BLVD",
"address_2": "SUITE 700",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161222",
"telephone_number": "612-706-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 WAYZATA BLVD",
"address_2": "SUITE 700",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161222",
"telephone_number": "612-706-0910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CELEBRITY HOME HEALTH PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-14",
"last_updated": "2010-09-14",
"status": "A",
"authorized_official_last_name": "CRAYTON",
"authorized_official_first_name": "ELLEN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "612-799-6508",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN DHS CLASS A PROFESSIONAL HOME CARE AGENCY LICENSE",
"identifier": "348032",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Karuna Healthcare US, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.