Provider Demographics
NPI:1699333708
Name:CELESTINE HEALTH INC.
Entity type:Organization
Organization Name:CELESTINE HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THASIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAIGIRDAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-448-5794
Mailing Address - Street 1:4525 DEAN MARTIN DR UNIT 307
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-8103
Mailing Address - Country:US
Mailing Address - Phone:856-448-5794
Mailing Address - Fax:
Practice Address - Street 1:4525 DEAN MARTIN DR UNIT 307
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-8103
Practice Address - Country:US
Practice Address - Phone:856-448-5794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-04
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
0OtherINDIVIDUALS PAY DIRECTLY