Provider Demographics
NPI:1306013453
Name:CELTIC HEALTHCARE OF NE OHIO, INC.
Entity Type:Organization
Organization Name:CELTIC HEALTHCARE OF NE OHIO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:E
Authorized Official - Last Name:BURCHIANTI
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:724-742-4360
Mailing Address - Street 1:150 SCHARBERRY LN
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-2430
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3530 BELMONT AVE
Practice Address - Street 2:STE 7
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-1400
Practice Address - Country:US
Practice Address - Phone:724-742-4360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH367061Medicare Oscar/Certification