Celestial Home Medical Supply and Equipment Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CELESTIAL HOME MEDICAL SUPPLY AND EQUIPMENT CORPORATION

Practice address

9449 S Kedzie Ave
Suite 213
Evergreen Park, IL 60805-2325

Phone

(773) 531-7392

Fax

(773) 363-3621

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tanya Jeffries, LCSW

Title

President

Phone

(773) 531-7392

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336361781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9449 S KEDZIE AVE",
            "address_2": "SUITE 213",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052325",
            "telephone_number": "773-531-7392",
            "fax_number": "773-363-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 S KEDZIE AVE",
            "address_2": "SUITE 213",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052325",
            "telephone_number": "773-531-7392",
            "fax_number": "773-363-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTIAL HOME MEDICAL SUPPLY AND EQUIPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEFFRIES",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-531-7392",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Carney, M.D.
• Carla Carter, ED.D., LPC, CC-AASP
• Clifford Castillo, RPH
• Michelle Catron, MSW
• Cedar Court Counseling Center
• Center for Self-Actualization
• Central Regional Laboratories, LLC
• Cepamerica Illinois LLP
• Stephanie J Cermak, PA-C
• Matthew William Cesario

• Durable Medical Equipment & Medical Supplies in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.