Provider Demographics
NPI:1922693670
Name:EXCEL CARE AGENCY INCORPORATED
Entity Type:Organization
Organization Name:EXCEL CARE AGENCY INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:ANAYO
Authorized Official - Last Name:NJOKU
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:919-395-5227
Mailing Address - Street 1:5801 CHERRYRAIN CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-5586
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5801 CHERRYRAIN CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-5586
Practice Address - Country:US
Practice Address - Phone:919-395-5227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-04
Last Update Date:2021-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home