Provider Demographics
NPI:1376868604
Name:EXCEL HOME HEALTH PLUS LLC
Entity Type:Organization
Organization Name:EXCEL HOME HEALTH PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ODUAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-218-4177
Mailing Address - Street 1:470 OLDE WORTHINGTON RD
Mailing Address - Street 2:STE 200
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082
Mailing Address - Country:US
Mailing Address - Phone:740-363-7474
Mailing Address - Fax:740-363-7575
Practice Address - Street 1:163 N SANDUSKY ST
Practice Address - Street 2:SUITE 201
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1771
Practice Address - Country:US
Practice Address - Phone:740-363-7474
Practice Address - Fax:740-363-7575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3127824Medicaid