Exceptional Provider Service, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EXCEPTIONAL PROVIDER SERVICE, LLC

Practice address

8546 Broadway Ste 206
San Antonio, TX 78217-6340

Phone

(210) 579-0223

Fax

(210) 579-0242

NPI assigned

Nov 30, 2020

Organization subpart

No

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

Authorized official

Name

Daniel Castillo

Title

Ceo/Administrator

Phone

(210) 579-0223

Specialties & licenses 1

Addresses

Other names 1

• Exceptional Pedi Care Doing business as

Locations

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1013511153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632",
            "city": "LEMING",
            "state": "TX",
            "postal_code": "780500632",
            "telephone_number": "210-579-0223",
            "fax_number": "210-579-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8546 BROADWAY STE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176340",
            "telephone_number": "210-579-0223",
            "fax_number": "210-579-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL PROVIDER SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "210-579-0223"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exceptional Pedi Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.