Secure Excellence LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SECURE EXCELLENCE LLC

Practice address

902 E Park Dr
Stockton, MO 65785-9796

Phone

(417) 355-1048

NPI assigned

Jan 20, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa Louise Ornelas

Title

Owner

Phone

(417) 355-1048

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1003521386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E PARK DR",
            "city": "STOCKTON",
            "state": "MO",
            "postal_code": "657859796",
            "telephone_number": "417-355-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E PARK DR",
            "city": "STOCKTON",
            "state": "MO",
            "postal_code": "657859796",
            "telephone_number": "417-355-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE EXCELLENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "ORNELAS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-355-1048"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Phoenix
• Karen Sue Purtle, RPH
• Jason Pyle
• Kristin Paige Robidou, M.D.
• Saving Grace Family Chiropractic
• Brian Maurice Shefulsky, DO
• Stockton R-I School District
• Thornton Natural Healthcare Centre
• Cheryl Thornton, PSY.D.
• Jeremy Dwain Thornton, D.C.

• All providers in Stockton, MO
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.