Organization Active NPI

Celebrity Home Health Partners, LLC

  • Home Health Agency
  • St Louis Park, MN
National Provider Identifier
1215245113
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 14, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
348032OtherMNMN DHS CLASS A PROFESSIONAL HOME CARE AGENCY LICENSE

Other names 1

  • Karuna Healthcare US, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Celebrity Home Health Partners LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.