Provider Demographics
NPI:1760784946
Name:EXCELLENCE IN HOME CARE, INC.
Entity Type:Organization
Organization Name:EXCELLENCE IN HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:813-264-6500
Mailing Address - Street 1:8831 HAWBUCK ST
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5361
Mailing Address - Country:US
Mailing Address - Phone:727-264-8853
Mailing Address - Fax:727-264-8867
Practice Address - Street 1:8831 HAWBUCK ST
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-5361
Practice Address - Country:US
Practice Address - Phone:727-264-8853
Practice Address - Fax:727-264-8867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health