Celtic Private Care of Il & Mo, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

4000188 Issued in IL

Legal business name

CELTIC PRIVATE CARE OF IL & MO, LLC

Practice address

1809 W McCord St
Centralia, IL 62801-5838

Phone

(618) 545-0138

NPI assigned

Mar 20, 2014

Organization subpart

No

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

Authorized official

Name

Arnold E Burchianti II

Title

President

Phone

(724) 720-1205

Specialties & licenses 1

Addresses

Other names 1

• VNA-TIP Private Duty Doing business as

Tax ID family

Celtic Private Care of Il Mo LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Celtic Private Care of Il & Mo, LLC

  • In Home Supportive Care Agency
  • Fenton, MO
  • NPI 1871981704
  NPD tax ID

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1669899274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SCHARBERRY LN",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160462430",
            "telephone_number": "800-355-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 W MCCORD ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628015838",
            "telephone_number": "618-545-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELTIC PRIVATE CARE OF IL & MO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "BURCHIANTI",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-720-1205",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "4000188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VNA-TIP Private Duty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evan Carter
• Josye Lynn Carter, BA
• Toni Carter
• Leslie Carver
• Jennifer Lee Castellari, SPEECH LANGUAGE PATH
• Central City SCH Dist 133
• Centralia Anesthesiology Services LTD
• Centralia HS Dist 200
• Centralia School Dist 135
• Kourtney Chalke, COTA/L

• Nursing Care Agency in Centralia, IL
• Providers in Centralia, IL by specialty
• Nursing Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.