Provider Demographics
NPI:1477884781
Name:CELESTIAL HUMAN SERVICES INC
Entity Type:Organization
Organization Name:CELESTIAL HUMAN SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:C
Authorized Official - Last Name:UNEANYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-256-6237
Mailing Address - Street 1:3430 S DIXIE DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MORAINE
Mailing Address - State:OH
Mailing Address - Zip Code:45439-2386
Mailing Address - Country:US
Mailing Address - Phone:614-783-7727
Mailing Address - Fax:614-776-1488
Practice Address - Street 1:1077 CANNONADE CT
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-3860
Practice Address - Country:US
Practice Address - Phone:614-783-7727
Practice Address - Fax:614-776-1488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-26
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2436411Medicaid