Provider Demographics
NPI:1346900339
Name:EXCELLENCE HOME HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:EXCELLENCE HOME HEALTHCARE SERVICES
Other - Org Name:EXCELLENCE HOME HEALTHCARE SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABUBAKARR
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-977-6000
Mailing Address - Street 1:7881 BEECHCRAFT AVE STE B
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-1524
Mailing Address - Country:US
Mailing Address - Phone:301-977-6000
Mailing Address - Fax:301-977-5200
Practice Address - Street 1:7881 BEECHCRAFT AVE UNIT 8
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-1507
Practice Address - Country:US
Practice Address - Phone:301-977-6000
Practice Address - Fax:301-977-5200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-18
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health