Provider Demographics
NPI:1639846355
Name:EXXELCARE SERVICES LLC
Entity type:Organization
Organization Name:EXXELCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/ADMIN/DON
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-315-0560
Mailing Address - Street 1:917 LAWNDALE ST
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-1646
Mailing Address - Country:US
Mailing Address - Phone:571-315-0560
Mailing Address - Fax:
Practice Address - Street 1:917 LAWNDALE ST
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-1646
Practice Address - Country:US
Practice Address - Phone:571-315-0560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-30
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based