Provider Demographics
NPI:1356727853
Name:SERVICE EXCELLENCE HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:SERVICE EXCELLENCE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN/ OWER
Authorized Official - Prefix:
Authorized Official - First Name:JAMMEH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-527-8614
Mailing Address - Street 1:10928 COVERSTONE DR APT B3
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-7215
Mailing Address - Country:US
Mailing Address - Phone:202-527-8614
Mailing Address - Fax:
Practice Address - Street 1:10928 COVERSTONE DR APT B3
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-7215
Practice Address - Country:US
Practice Address - Phone:202-527-8614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-06
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome HealthGroup - Single Specialty