Provider Demographics
NPI:1073941118
Name:EXCEL-CARE SERVICES INC
Entity Type:Organization
Organization Name:EXCEL-CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEVERINA
Authorized Official - Middle Name:C
Authorized Official - Last Name:ZOKAIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-703-8330
Mailing Address - Street 1:11301 BERTRAND AVE
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-3302
Mailing Address - Country:US
Mailing Address - Phone:818-708-8330
Mailing Address - Fax:
Practice Address - Street 1:22720 BURTON ST
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91304-3708
Practice Address - Country:US
Practice Address - Phone:818-708-8330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities