Provider Demographics
NPI:1346896776
Name:CELESTIAL HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:CELESTIAL HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:F
Authorized Official - Last Name:SAINT LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-951-6096
Mailing Address - Street 1:2700 WESTHALL LN STE 220
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7477
Mailing Address - Country:US
Mailing Address - Phone:407-951-6096
Mailing Address - Fax:407-637-2527
Practice Address - Street 1:2700 WESTHALL LN STE 220
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7477
Practice Address - Country:US
Practice Address - Phone:407-951-6096
Practice Address - Fax:407-637-2527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-12
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health