Provider Demographics
NPI:1669137923
Name:EXCEL HOME CARE NURSING SERVICES LLC
Entity type:Organization
Organization Name:EXCEL HOME CARE NURSING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:516-526-5416
Mailing Address - Street 1:32 BROOKSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11703-4903
Mailing Address - Country:US
Mailing Address - Phone:516-526-5416
Mailing Address - Fax:516-570-2195
Practice Address - Street 1:32 BROOKSIDE AVE
Practice Address - Street 2:
Practice Address - City:NORTH BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11703-4903
Practice Address - Country:US
Practice Address - Phone:516-526-5416
Practice Address - Fax:516-570-2195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty