Provider Demographics
NPI:1023852290
Name:EXCLUSIVE HEROES CARE SERVICES, LLC
Entity type:Organization
Organization Name:EXCLUSIVE HEROES CARE SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DALISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-652-2337
Mailing Address - Street 1:6 S 2ND ST STE 521-23
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-2846
Mailing Address - Country:US
Mailing Address - Phone:513-430-6610
Mailing Address - Fax:
Practice Address - Street 1:6 S 2ND ST STE 521-23
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-2846
Practice Address - Country:US
Practice Address - Phone:513-430-6610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-22
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No342000000XTransportation ServicesTransportation Network Company
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty