Active NPI
Celestial Homes Assisted Living Services
- Home Health Agency
- Pontiac, MI
National Provider Identifier
1417401522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 0146282
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.