Provider Demographics
NPI:1235405630
Name:EXCEPTIONAL CARE HCS INC.
Entity Type:Organization
Organization Name:EXCEPTIONAL CARE HCS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:VELASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-400-8415
Mailing Address - Street 1:6517 FALLBROOK DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-5924
Mailing Address - Country:US
Mailing Address - Phone:972-400-8415
Mailing Address - Fax:972-468-9839
Practice Address - Street 1:6517 FALLBROOK DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-5924
Practice Address - Country:US
Practice Address - Phone:972-400-8415
Practice Address - Fax:972-468-9839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services