Provider Demographics
NPI:1750020863
Name:THE EXQUISITE CARE COMPANY LLC
Entity type:Organization
Organization Name:THE EXQUISITE CARE COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CALANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-331-1640
Mailing Address - Street 1:1515 W KIRBY AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61821-5570
Mailing Address - Country:US
Mailing Address - Phone:217-331-1640
Mailing Address - Fax:800-906-6250
Practice Address - Street 1:1515 W KIRBY AVE APT 3
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61821-5570
Practice Address - Country:US
Practice Address - Phone:217-331-1640
Practice Address - Fax:800-906-6250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-27
Last Update Date:2024-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care