Provider Demographics
NPI:1457479784
Name:EXCEL CARE INC
Entity Type:Organization
Organization Name:EXCEL CARE INC
Other - Org Name:CRANFORD HEALTH AND EXTENDED CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-272-6660
Mailing Address - Street 1:205 BIRCHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2515
Mailing Address - Country:US
Mailing Address - Phone:908-272-6660
Mailing Address - Fax:908-276-2424
Practice Address - Street 1:205 BIRCHWOOD AVE
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2515
Practice Address - Country:US
Practice Address - Phone:908-272-6660
Practice Address - Fax:908-276-2424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ062006311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4504500Medicaid
NJ4504500Medicaid