Organization Active NPI

Celestial Homes Assisted Living Services

  • Home Health Agency
  • Pontiac, MI
National Provider Identifier
1417401522
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0146282 Issued in MI
Legal business name
CELESTIAL HOMES ASSISTED LIVING SERVICES
Practice address
201 Whittemore St
Pontiac, MI 48342-3069
Phone
(248) 421-6705
NPI assigned
Aug 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

Name
Mary Russell
Title
Manager
Phone
(248) 421-6705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0146282 MI Primary

Addresses

Primary practice location

201 Whittemore St
Pontiac, MI 48342-3069

Mailing address

201 Whittemore St
Pontiac, MI 48342-3069
Phone (248) 421-6705

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1417401522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WHITTEMORE ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483423069",
            "telephone_number": "248-421-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WHITTEMORE ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483423069",
            "telephone_number": "248-421-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTIAL HOMES ASSISTED LIVING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-421-6705"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "0146282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.