Provider Demographics
NPI:1376715789
Name:EXCELLENT CARE INC
Entity Type:Organization
Organization Name:EXCELLENT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ILEANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LLANOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-398-3601
Mailing Address - Street 1:1840 W 49TH ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2978
Mailing Address - Country:US
Mailing Address - Phone:305-398-3601
Mailing Address - Fax:305-398-3604
Practice Address - Street 1:1840 W 49TH ST
Practice Address - Street 2:SUITE 402
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2978
Practice Address - Country:US
Practice Address - Phone:305-398-3601
Practice Address - Fax:305-398-3604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993021251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health