Provider Demographics
NPI:1669606778
Name:CELEBRATION HOME CARE, LLC
Entity type:Organization
Organization Name:CELEBRATION HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:CHARTIER
Authorized Official - Last Name:WHITING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:248-994-0280
Mailing Address - Street 1:37899 W 12 MILE RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-3048
Mailing Address - Country:US
Mailing Address - Phone:248-994-0280
Mailing Address - Fax:
Practice Address - Street 1:37899 W 12 MILE RD
Practice Address - Street 2:SUITE 220
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-3048
Practice Address - Country:US
Practice Address - Phone:248-994-0280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-05
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health