Celestial Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

IL1010389 Issued in IL

Legal business name

CELESTIAL HOME HEALTH CARE, INC.

Practice address

3559 N Cumberland Ave
Suite 106/107
Chicago, IL 60634-2865

Phone

(773) 625-3326

Fax

(773) 625-1948

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark R Hernandez

Title

Administrator

Phone

(773) 625-3326

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1497848949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3559 N CUMBERLAND AVE.",
            "address_2": "SUITE 106/107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342865",
            "telephone_number": "773-625-3326",
            "fax_number": "773-625-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3559 N CUMBERLAND AVE",
            "address_2": "SUITE 106/107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342865",
            "telephone_number": "773-625-3326",
            "fax_number": "773-625-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTIAL HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-625-3326",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "IL1010389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "14-7861",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Marie Celani, MSN,CPNP-AC
• Robin T Celano, DNP
• Celebritysmiles
• Andrea Celerio, LCPC
• Celestial Cipher LLC
• Vankettia Renell Celestine
• Courtney Celian, OTR/L
• Paula Celik, PTA
• Christina Ann Celin, CCC-SLP
• Nicole Celio, PA-C

• Home Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.