Active NPI
Excel Special Services, LLC
- Adult Day Care Clinic/Center
- Oklahoma City, OK
National Provider Identifier
1013260140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200403940A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
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.