Provider Demographics
NPI:1598335465
Name:EXCELLENCE HOME CARE LLC
Entity Type:Organization
Organization Name:EXCELLENCE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:EXCELLENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-502-8656
Mailing Address - Street 1:3040 S MILITARY TRL STE J
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-2111
Mailing Address - Country:US
Mailing Address - Phone:561-508-3442
Mailing Address - Fax:561-508-3442
Practice Address - Street 1:3040 S MILITARY TRL STE J
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-2111
Practice Address - Country:US
Practice Address - Phone:561-508-3442
Practice Address - Fax:561-508-3442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health