Provider Demographics
NPI:1023069671
Name:EXCEL HOME HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:EXCEL HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILIPOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-553-1205
Mailing Address - Street 1:330 MUNICIPAL DR # 104A
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3541
Mailing Address - Country:US
Mailing Address - Phone:214-553-1205
Mailing Address - Fax:972-664-0572
Practice Address - Street 1:330 MUNICIPAL DR # 104A
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3541
Practice Address - Country:US
Practice Address - Phone:214-553-1205
Practice Address - Fax:972-664-0572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X
TX008070251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX017471OtherHCSSA
TX017471OtherHCSSA