Provider Demographics
NPI:1013301811
Name:CARE EXCELLENCE LLC
Entity Type:Organization
Organization Name:CARE EXCELLENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ABI
Authorized Official - Middle Name:
Authorized Official - Last Name:KEFLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-475-0628
Mailing Address - Street 1:7704 OUSLEY PL
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-5906
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7704 OUSLEY PL
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-5906
Practice Address - Country:US
Practice Address - Phone:240-475-0628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO 151215251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA123OtherMEDICARE