Provider Demographics
NPI:1457799058
Name:EXCELLENT CARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:EXCELLENT CARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:MR
Authorized Official - First Name:RODERICK
Authorized Official - Middle Name:C
Authorized Official - Last Name:SATUITO
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:817-739-4007
Mailing Address - Street 1:112 SW THOMAS ST
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-3818
Mailing Address - Country:US
Mailing Address - Phone:817-370-4653
Mailing Address - Fax:
Practice Address - Street 1:112 SW THOMAS ST
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-3818
Practice Address - Country:US
Practice Address - Phone:817-739-4007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-05
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health