Provider Demographics
NPI:1902644149
Name:CELTIC WELLNESS HOMEHEALTH LLC
Entity type:Organization
Organization Name:CELTIC WELLNESS HOMEHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:SILVER
Authorized Official - Last Name:ONORIODE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:234-237-3269
Mailing Address - Street 1:151 WINCHESTER RD APT 203
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3564
Mailing Address - Country:US
Mailing Address - Phone:234-334-9632
Mailing Address - Fax:
Practice Address - Street 1:151 WINCHESTER RD APT 203
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3564
Practice Address - Country:US
Practice Address - Phone:234-334-9632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No251J00000XAgenciesNursing CareGroup - Single Specialty
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility