Provider Demographics
NPI:1467964841
Name:HEALTH EXCEL HOME CARE, INC
Entity Type:Organization
Organization Name:HEALTH EXCEL HOME CARE, INC
Other - Org Name:HEALTH EXCEL HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR DESIGNEE
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:MESERVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-452-1279
Mailing Address - Street 1:9850 GENESEE AVE STE 900
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1220
Mailing Address - Country:US
Mailing Address - Phone:858-452-1279
Mailing Address - Fax:858-587-1642
Practice Address - Street 1:9850 GENESEE AVE STE 900
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1220
Practice Address - Country:US
Practice Address - Phone:858-452-1279
Practice Address - Fax:858-587-1642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-25
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health