Provider Demographics
NPI:1619323516
Name:CELTIC HEALTHCARE OF NE PA, INC.
Entity Type:Organization
Organization Name:CELTIC HEALTHCARE OF NE PA, INC.
Other - Org Name:CELTIC HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
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:724-720-1205
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:888-923-5842
Mailing Address - Fax:724-742-4451
Practice Address - Street 1:601 WYOMING AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-3701
Practice Address - Country:US
Practice Address - Phone:888-923-5842
Practice Address - Fax:724-742-4451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty