Provider Demographics
NPI:1467920298
Name:CELESTON INC.
Entity Type:Organization
Organization Name:CELESTON INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-300-9338
Mailing Address - Street 1:600 HOLIDAY DR STE 236
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-2237
Mailing Address - Country:US
Mailing Address - Phone:708-300-9338
Mailing Address - Fax:
Practice Address - Street 1:600 HOLIDAY DR STE 236
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-2237
Practice Address - Country:US
Practice Address - Phone:708-300-9338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-09
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health