Provider Demographics
NPI:1336316272
Name:EXCELLENCE HOME HEALTH, INC
Entity Type:Organization
Organization Name:EXCELLENCE HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARINO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-226-8625
Mailing Address - Street 1:14850 SW 26 STREET
Mailing Address - Street 2:SUITE #111
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-5930
Mailing Address - Country:US
Mailing Address - Phone:305-226-8625
Mailing Address - Fax:305-226-8695
Practice Address - Street 1:14850 SW 26 ST
Practice Address - Street 2:SUITE 111
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185
Practice Address - Country:US
Practice Address - Phone:305-265-2304
Practice Address - Fax:305-265-2305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992950251E00000X
FLHHA299992950251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health