Provider Demographics
NPI:1659730257
Name:EXCELSURE HOMES HEALTH CARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:EXCELSURE HOMES HEALTH CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:REHEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MLISHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-205-6270
Mailing Address - Street 1:155 MAPLE ST
Mailing Address - Street 2:SUITE 409
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01105-2649
Mailing Address - Country:US
Mailing Address - Phone:413-205-6270
Mailing Address - Fax:413-205-6270
Practice Address - Street 1:155 MAPLE ST
Practice Address - Street 2:SUITE 409
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01105-2649
Practice Address - Country:US
Practice Address - Phone:413-205-6270
Practice Address - Fax:413-205-6270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health