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Organization

CELEBRITY HOMEHEALTH, INC.

Active
Other names
CELEBRITY HOSPICE, Celebrity HomeHealth, Celebrity HomeHealth & Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID BUSTAN ACCOUNTANT (CEO, PRES.)
(818) 492-1700
Entity
Organization

Contact information

Practice address
2510 S RURAL RD STE 102, TEMPE, AZ 85282-2497
(480) 966-8888
(480) 966-8892
Mailing address
14950 VENTURA BLVD, SHERMAN OAKS, CA 91403-3455
(818) 343-4001
(818) 996-4001

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
APPLIED FOR
AZ
251G00000X
Community Based Hospice Care Agency
HSPC6509
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
426407
HACCCS
AZ
05
HHA55555F
AZ
Enumeration date
05/02/2007
Last updated
02/06/2024
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