Provider Demographics
NPI:1629608344
Name:EXCEED HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:EXCEED HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TETYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RYAZANOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-613-2444
Mailing Address - Street 1:9550 FOREST LN STE 208-D
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-5905
Mailing Address - Country:US
Mailing Address - Phone:214-613-2444
Mailing Address - Fax:214-580-2810
Practice Address - Street 1:9550 FOREST LN STE 208-D
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-5905
Practice Address - Country:US
Practice Address - Phone:214-613-2444
Practice Address - Fax:214-580-2810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health