Provider Demographics
NPI:1790559755
Name:EXCELLENT CARE LLC
Entity Type:Organization
Organization Name:EXCELLENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:
Authorized Official - Last Name:AMPAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-419-5214
Mailing Address - Street 1:3536 STEINER ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-7364
Mailing Address - Country:US
Mailing Address - Phone:614-419-5214
Mailing Address - Fax:
Practice Address - Street 1:3536 STEINER ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-7364
Practice Address - Country:US
Practice Address - Phone:614-419-5214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health