Provider Demographics
NPI:1962002204
Name:EXCELA HEALTH HOME CARE PRIVATE DUTY
Entity Type:Organization
Organization Name:EXCELA HEALTH HOME CARE PRIVATE DUTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT ACCOUNT SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SIKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-689-1800
Mailing Address - Street 1:501 W OTTERMAN ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2126
Mailing Address - Country:US
Mailing Address - Phone:724-689-1800
Mailing Address - Fax:724-689-1464
Practice Address - Street 1:501 W OTTERMAN ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2126
Practice Address - Country:US
Practice Address - Phone:724-689-1800
Practice Address - Fax:724-689-1464
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EXCELA HEALTH HOME CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care