Provider Demographics
NPI:1619404274
Name:EXCEPTIONAL HEALTH SERVICES, INC,
Entity Type:Organization
Organization Name:EXCEPTIONAL HEALTH SERVICES, INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:M
Authorized Official - Last Name:NTAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-487-9635
Mailing Address - Street 1:901 NEW MEISTER LN APT 524
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-5873
Mailing Address - Country:US
Mailing Address - Phone:512-487-9635
Mailing Address - Fax:512-551-4007
Practice Address - Street 1:901 NEW MEISTER LN APT 524
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-5873
Practice Address - Country:US
Practice Address - Phone:512-487-9635
Practice Address - Fax:512-551-4007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health