Provider Demographics
NPI:1669269080
Name:CELESTE HEALTH STAFFING AGENCY
Entity type:Organization
Organization Name:CELESTE HEALTH STAFFING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARMAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEGEYE
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:248-795-3553
Mailing Address - Street 1:45443 PARKDALE DR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-2437
Mailing Address - Country:US
Mailing Address - Phone:248-795-3553
Mailing Address - Fax:
Practice Address - Street 1:16250 NORTHLAND DR STE 246
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5205
Practice Address - Country:US
Practice Address - Phone:734-294-2056
Practice Address - Fax:734-725-6746
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CELESTE HEALTH STAFFING AGENCY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty