Provider Demographics
NPI:1336181635
Name:CELESTIAL CARE HEALTH SYSTEMS INC.
Entity Type:Organization
Organization Name:CELESTIAL CARE HEALTH SYSTEMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL & IFEOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:IROANYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-225-7735
Mailing Address - Street 1:2901 DRUID PARK DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-8102
Mailing Address - Country:US
Mailing Address - Phone:410-225-7735
Mailing Address - Fax:410-523-1211
Practice Address - Street 1:2901 DRUID PARK DR
Practice Address - Street 2:SUITE 300
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-8102
Practice Address - Country:US
Practice Address - Phone:410-225-7735
Practice Address - Fax:410-523-1211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR20993140N1450X, 332BN1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
Not Answered332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies