Provider Demographics
NPI:1780001529
Name:EXCELL HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:EXCELL HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-771-4273
Mailing Address - Street 1:37 1/2 OAKLAND AVE
Mailing Address - Street 2:ROOM 105
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-3741
Mailing Address - Country:US
Mailing Address - Phone:978-771-4273
Mailing Address - Fax:
Practice Address - Street 1:37 1/2 OAKLAND AVE
Practice Address - Street 2:ROOM 105
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-3741
Practice Address - Country:US
Practice Address - Phone:978-771-4273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-18
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health