Provider Demographics
NPI:1558850842
Name:EXCELLENCE HOME CARE SOLUTIONS
Entity Type:Organization
Organization Name:EXCELLENCE HOME CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MCCAFFERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-887-9465
Mailing Address - Street 1:1230 ROSE QUARTZ RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002-0521
Mailing Address - Country:US
Mailing Address - Phone:714-887-9465
Mailing Address - Fax:714-887-9465
Practice Address - Street 1:1230 ROSE QUARTZ RD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89002-0521
Practice Address - Country:US
Practice Address - Phone:714-887-9465
Practice Address - Fax:714-887-9465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20161431910253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care