Provider Demographics
NPI:1538331822
Name:CARE EXCELLENCE HOMEHEALTH LLC
Entity Type:Organization
Organization Name:CARE EXCELLENCE HOMEHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:D
Authorized Official - Last Name:PUENTE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-493-2112
Mailing Address - Street 1:4416 FOREST BEND DRIVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244
Mailing Address - Country:US
Mailing Address - Phone:214-493-2112
Mailing Address - Fax:972-991-2275
Practice Address - Street 1:4416 FOREST BEND DRIVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244
Practice Address - Country:US
Practice Address - Phone:214-493-2112
Practice Address - Fax:972-991-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011540251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health