Provider Demographics
NPI:1831402189
Name:EXCEL HEALTH CARE SERVICES, INC
Entity type:Organization
Organization Name:EXCEL HEALTH CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATIRCK
Authorized Official - Middle Name:
Authorized Official - Last Name:IKECHI
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:301-306-8280
Mailing Address - Street 1:6313 MERNA LN
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2862
Mailing Address - Country:US
Mailing Address - Phone:301-306-8280
Mailing Address - Fax:301-459-2400
Practice Address - Street 1:6313 MERNA LN
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2862
Practice Address - Country:US
Practice Address - Phone:301-306-8280
Practice Address - Fax:301-459-2400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2250251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2741059-00Medicaid