Active NPI
Celestial Sanctuary LLC
- Advanced Practice Midwife
- Greer, SC
National Provider Identifier
1730803495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Legal business name
- CELESTIAL SANCTUARY LLC
- Practice address
- 501 Memorial Drive Ext Ste a
Greer, SC 29651-1123 - Phone
- (864) 203-5588
- Fax
- (877) 243-1872
- NPI assigned
- Sep 27, 2022
- 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
- Sheila D Dell, CNM, LM, CPM
- Title
- Owner/Director
- Phone
- (864) 203-5588
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | Primary |
Addresses
Primary practice location
501 Memorial Drive Ext Ste a
Greer, SC 29651-1123
Mailing address
501 Memorial Drive Ext Ste a
Greer, SC 29651-1123
Phone (864) 203-5588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MW0246 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mobilemidwife.ehr | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Advanced Practice Midwife
- Simpsonville, SC
- NPI 1104106442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664236800000",
"number": "1730803495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MEMORIAL DRIVE EXT STE A",
"city": "GREER",
"state": "SC",
"postal_code": "296511123",
"telephone_number": "864-203-5588",
"fax_number": "877-243-1872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MEMORIAL DRIVE EXT STE A",
"city": "GREER",
"state": "SC",
"postal_code": "296511123",
"telephone_number": "864-203-5588",
"fax_number": "877-243-1872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CELESTIAL SANCTUARY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-27",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A",
"authorized_official_last_name": "DELL",
"authorized_official_first_name": "SHEILA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "864-203-5588",
"authorized_official_credential": "CNM, LM, CPM"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MW0246",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mobilemidwife.ehr",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "MEdical Records",
"address_1": "501 Memorial Drive Ext Ste A",
"city": "Greer",
"state": "SC",
"country_code": "US",
"postal_code": "296511123",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.