Provider Demographics
NPI:1124223284
Name:EXCELCARE HEALTH SERVICES
Entity Type:Organization
Organization Name:EXCELCARE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF NURSING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:678-902-0200
Mailing Address - Street 1:3200 SHAKERAG HL
Mailing Address - Street 2:SUITE B
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-6511
Mailing Address - Country:US
Mailing Address - Phone:678-902-0200
Mailing Address - Fax:678-902-0201
Practice Address - Street 1:3200 SHAKERAG HL
Practice Address - Street 2:SUITE B
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-6511
Practice Address - Country:US
Practice Address - Phone:678-902-0200
Practice Address - Fax:678-902-0201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN179142163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty