Celestial Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CELESTIAL HOME HEALTH CARE LLC

Practice address

2700 Westhall LN Ste 220
Maitland, FL 32751-7477

Phone

(407) 951-6096

Fax

(407) 637-2527

NPI assigned

Aug 12, 2019

Organization subpart

No

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

Authorized official

Name

Jason F Saint Louis

Title

President

Phone

(407) 951-6096

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 687060

Legal name

CELESTIAL HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 27, 2020

Last certification

Aug 27, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jul 25, 2020 in FL

Enrollment address

2700 Westhall LN
Ste 220
Maitland, FL 32751-7477

Listed as

Celestial Home Health Care LLCCCN 687060

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Aug 27, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1346896776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTHALL LN STE 220",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517477",
            "telephone_number": "407-951-6096",
            "fax_number": "407-637-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WESTHALL LN STE 220",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517477",
            "telephone_number": "407-951-6096",
            "fax_number": "407-637-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTIAL HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "SAINT LOUIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-951-6096"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.