Provider Demographics
NPI:1376247866
Name:EXCEPTIONAL CARE HOME HEALTH AGENCY INC
Entity Type:Organization
Organization Name:EXCEPTIONAL CARE HOME HEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARITES
Authorized Official - Middle Name:M
Authorized Official - Last Name:SICAT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:415-347-7560
Mailing Address - Street 1:333 GELLERT BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2661
Mailing Address - Country:US
Mailing Address - Phone:415-347-7560
Mailing Address - Fax:415-347-7561
Practice Address - Street 1:333 GELLERT BLVD STE 209
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2661
Practice Address - Country:US
Practice Address - Phone:415-347-7560
Practice Address - Fax:415-347-7561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health