Organization Active NPI

Excel Special Services, LLC

  • Adult Day Care Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1013260140
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
EXCEL SPECIAL SERVICES, LLC
Practice address
8901 NE 23Rd St
Oklahoma City, OK 73141-2245
Phone
(405) 769-1079
Fax
(405) 769-7919
NPI assigned
Oct 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Myra Traylor
Title
Manager
Phone
(405) 769-1079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

8901 NE 23Rd St
Oklahoma City, OK 73141-2245

Mailing address

8901 NE 23Rd St
Oklahoma City, OK 73141-2245
Phone (405) 769-1079

Other identifiers 1

IdentifierTypeStateIssuer
200403940AMedicaidOK

National Provider Directory

National Provider Directory

Locations

8901 NE 23rd St
Oklahoma City, OK 73141
Phone (405) 769-1079

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1013260140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 NE 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731412245",
            "telephone_number": "405-769-1079",
            "fax_number": "405-769-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 NE 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731412245",
            "telephone_number": "405-769-1079",
            "fax_number": "405-769-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL SPECIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-769-1079"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200403940A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.