Provider Demographics
NPI:1629127402
Name:EXCEL HOME HEALTH, INC.
Entity Type:Organization
Organization Name:EXCEL HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIGHT
Authorized Official - Middle Name:
Authorized Official - Last Name:WINNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-572-6705
Mailing Address - Street 1:PO BOX 13207
Mailing Address - Street 2:
Mailing Address - City:RTP
Mailing Address - State:NC
Mailing Address - Zip Code:27709-3207
Mailing Address - Country:US
Mailing Address - Phone:919-572-6705
Mailing Address - Fax:919-361-1891
Practice Address - Street 1:4310 S MIAMI BLVD STE 208
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-9403
Practice Address - Country:US
Practice Address - Phone:919-572-6705
Practice Address - Fax:919-361-1891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2911251E00000X
NCHC3032251E00000X
NCHC3393251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601225Medicaid
NC3408252Medicaid
NC6601294Medicaid