Celestial Provider Services LLC

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

CELESTIAL PROVIDER SERVICES LLC

Practice address

604 E Ramon Ayala Dr
Hidalgo, TX 78557-2627

Phone

(956) 317-1725

NPI assigned

Jul 31, 2023

Last updated

Jul 31, 2023By 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

Jose Valdez Jr.

Title

Admin

Phone

(956) 310-1725

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1346921525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8808",
            "city": "HIDALGO",
            "state": "TX",
            "postal_code": "785578808",
            "telephone_number": "956-310-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E RAMON AYALA DR",
            "city": "HIDALGO",
            "state": "TX",
            "postal_code": "785572627",
            "telephone_number": "956-317-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTIAL PROVIDER SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-29",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "956-310-1725",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Attendant Care Provider in Hidalgo, TX
• Providers in Hidalgo, TX by specialty
• Attendant Care Provider in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.