Provider Demographics
NPI:1821540162
Name:AMERICAN EXCEL HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:AMERICAN EXCEL HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:JUSTIMBASTE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:623-206-7386
Mailing Address - Street 1:2755 COTTAGE WAY STE 12
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-1221
Mailing Address - Country:US
Mailing Address - Phone:623-206-7386
Mailing Address - Fax:
Practice Address - Street 1:2755 COTTAGE WAY STE 12
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-1221
Practice Address - Country:US
Practice Address - Phone:623-206-7386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC3729588251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health