Provider Demographics
NPI:1326153891
Name:EXCLUSIVE HOME HEALTH AND HOSPICE INC
Entity Type:Organization
Organization Name:EXCLUSIVE HOME HEALTH AND HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OSTROVSKIY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-358-2468
Mailing Address - Street 1:PO BOX 1300
Mailing Address - Street 2:
Mailing Address - City:BEEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78104-1300
Mailing Address - Country:US
Mailing Address - Phone:361-358-2468
Mailing Address - Fax:361-358-3861
Practice Address - Street 1:112 N SAINT MARYS ST
Practice Address - Street 2:
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-4605
Practice Address - Country:US
Practice Address - Phone:361-358-2468
Practice Address - Fax:361-358-3861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010203251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXVENDOR# 001017137OtherCBA/HCSS (REGION 11)
TX023897401Medicaid
TXVENDOR# 001017135OtherCBA/HCSS (REGION 8)
TX458134OtherMEDICARE
451734OtherHOSPICE
TXVENDOR# 001017134OtherPHC/FC (REGION 8)
TX001014012Medicaid
TXVENDOR# 001017136OtherPHC/FC (REGION 11)
TXVENDOR# 001017135OtherCBA/HCSS (REGION 8)