Provider Demographics
NPI:1063888154
Name:CELESTINE HOME HEALTH INC
Entity type:Organization
Organization Name:CELESTINE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTGEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-923-7800
Mailing Address - Street 1:PO BOX 100376
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-1676
Mailing Address - Country:US
Mailing Address - Phone:210-923-7800
Mailing Address - Fax:210-923-7801
Practice Address - Street 1:2900 MOSSROCK STE 370
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5161
Practice Address - Country:US
Practice Address - Phone:210-923-7800
Practice Address - Fax:210-923-7801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health