Provider Demographics
NPI:1720563414
Name:EXCELLENCE HEALTHCARE SERVICES CORP
Entity Type:Organization
Organization Name:EXCELLENCE HEALTHCARE SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDENAS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:305-431-1920
Mailing Address - Street 1:28920 SW 146TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-2921
Mailing Address - Country:US
Mailing Address - Phone:305-431-1920
Mailing Address - Fax:786-504-3380
Practice Address - Street 1:28920 SW 146TH AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-2921
Practice Address - Country:US
Practice Address - Phone:305-431-1920
Practice Address - Fax:786-504-3380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care