Provider Demographics
NPI:1376230920
Name:CELEBRATE HOME CARE LLC
Entity Type:Organization
Organization Name:CELEBRATE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:TAIZHANOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-736-4747
Mailing Address - Street 1:2241 SAWBURY BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-1818
Mailing Address - Country:US
Mailing Address - Phone:614-900-0025
Mailing Address - Fax:
Practice Address - Street 1:2241 SAWBURY BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-1818
Practice Address - Country:US
Practice Address - Phone:614-900-0025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty