Provider Demographics
NPI:1033279674
Name:EXCELLENT HOME CARE INC
Entity Type:Organization
Organization Name:EXCELLENT HOME CARE INC
Other - Org Name:SOMERSET HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NOOR
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:734-642-8923
Mailing Address - Street 1:30925 FORD RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-1804
Mailing Address - Country:US
Mailing Address - Phone:734-585-0623
Mailing Address - Fax:734-585-0631
Practice Address - Street 1:30925 FORD RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-1804
Practice Address - Country:US
Practice Address - Phone:734-585-0623
Practice Address - Fax:734-585-0631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237711Medicare UPIN