Celebrity Style Homemaker & Companion Services Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

230098 Issued in FL

Legal business name

CELEBRITY STYLE HOMEMAKER & COMPANION SERVICES INC.

Practice address

1325 16TH St S
Saint Petersburg, FL 33705-2338

Phone

(727) 278-6645

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Miss Desiree Nicole Davis

Title

Owner/ Operator

Phone

(727) 278-6645

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1376796847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 16TH ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337052338",
            "telephone_number": "727-278-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 16TH ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337052338",
            "telephone_number": "727-278-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRITY STYLE HOMEMAKER & COMPANION SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/ OPERATOR",
        "authorized_official_telephone_number": "727-278-6645",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "230098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691878698",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691878696",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.