Provider Demographics
NPI:1508049297
Name:EXCEED HOME HEALTH INC
Entity Type:Organization
Organization Name:EXCEED HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUTZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-508-8385
Mailing Address - Street 1:20121 VENTURA BLVD STE 316-317
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2546
Mailing Address - Country:US
Mailing Address - Phone:818-854-6365
Mailing Address - Fax:818-979-9090
Practice Address - Street 1:20121 VENTURA BLVD STE 316-317
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2546
Practice Address - Country:US
Practice Address - Phone:818-854-6365
Practice Address - Fax:818-979-9090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA09156Medicaid
CAHHA09156Medicaid