Provider Demographics
NPI:1902512668
Name:CELESTE HEALTHCARE
Entity Type:Organization
Organization Name:CELESTE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:ANTOINNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUEUDJIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-795-3578
Mailing Address - Street 1:3045 AMBARWENT RD
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-7064
Mailing Address - Country:US
Mailing Address - Phone:614-795-3578
Mailing Address - Fax:
Practice Address - Street 1:3045 AMBARWENT RD
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-7064
Practice Address - Country:US
Practice Address - Phone:614-795-3578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal NewbornGroup - Single Specialty