Celtic Hospice & Palliative Care Services, LLC
Organization Active NPI Nurse Practitioner · Warrendale, PA
NPI 1801333265 · NPPES record last updated Nov 9, 2023
Key facts
- NPI
- 1801333265
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- CELTIC HOSPICE & PALLIATIVE CARE SERVICES, LLC
- Practice address
- 200 Allegheny Dr Ste 201
Warrendale, PA 15086-7517 - Phone
- (888) 599-7328
- NPI assigned
- Jan 24, 2017
- Organization subpart
- No
Authorized official
- Name
- Justin Dewitte
- Title
- Ceo
- Phone
- (866) 902-4000
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Member of 3
Practitioners 4
-
Avital S Goldwasser, N.P.
-
Megan Lord-Deriggi, CRNP
-
Carrie St John, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170425000158 | PA | Part B Supplier - Clinic/Group Practice | 5890793970 |
Receives reassigned benefits from 4 practitioners Practice locations: Warrendale, PA |
National Provider Directory
- Tax ID family
- Ahn Healthcare Home Hospice and Palliati
Locations
2550 Village Common Dr
Unit A2
Erie, PA 16506
Phone (888) 599-7328
4055 Monroeville Blvd
Ste 300
Monroeville, PA 15146
Phone (412) 414-9916
4 Allegheny Ctr
Fl 9
Pittsburgh, PA 15212
Phone (888) 599-7328
4 Allegheny Ctr
Ste 950
Pittsburgh, PA 15212
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
200 Allegheny Dr Ste 201
Warrendale, PA 15086-7517
Mailing address
5440 Corporate Dr Ste 400
Troy, MI 48098-2645
Phone (866) 902-4000
Other names
- Allegheny Health Network Healthcare at Home Hospice & Palliative Care
Other providers in Warrendale, PA
- Hannah Carnevali
- Paul Lukas Carroll
- Joseph V Carter
- Celtic Healthcare of Westmoreland LLC
- Celtic Healthcare of Westmoreland LLC
- Celtic Hospice & Palliative Care Services, LLC
- Autumn Renee Chambers
- Antonio Rafael Charneco Jr.
- Christie Kelly Licensed Professional Counseling LLC
- Mircea N. Coca
All providers in Warrendale, PA · Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.