Provider Demographics
NPI:1114007572
Name:EXCELL HOME CARE SERVICES,INC
Entity Type:Organization
Organization Name:EXCELL HOME CARE SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILLIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:WARREN-HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-453-2273
Mailing Address - Street 1:187 ROBERSON MILL RD NE STE 202A
Mailing Address - Street 2:
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-4960
Mailing Address - Country:US
Mailing Address - Phone:478-453-2273
Mailing Address - Fax:478-453-2293
Practice Address - Street 1:187 ROBERSON MILL RD NE STE 202A
Practice Address - Street 2:
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-4960
Practice Address - Country:US
Practice Address - Phone:478-453-2273
Practice Address - Fax:478-453-2293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005-R-0010251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA005-R-0010OtherPRIVATE HOMECARE PROVIDER