Excel Home Health Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

008070 Issued in TX

Legal business name

EXCEL HOME HEALTH SERVICES, LLC

Practice address

330 Municipal Dr # 104a
Richardson, TX 75080-3541

Phone

(214) 553-1205

Fax

(972) 664-0572

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Sherly Philipose

Title

Administrator

Phone

(214) 553-1205

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 679215

Legal name

EXCEL HOME HEALTH SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 27, 2003

Last certification

Feb 11, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

330 Municipal Dr
Ste 104a
Richardson, TX 75080-3541

Listed as

Excel Home Health Services LLCCCN 679215 · All quality measures

Ownership

Proprietary

Certified

Jan 27, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1023069671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MUNICIPAL DR # 104A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803541",
            "telephone_number": "214-553-1205",
            "fax_number": "972-664-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MUNICIPAL DR # 104A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803541",
            "telephone_number": "214-553-1205",
            "fax_number": "972-664-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "PHILIPOSE",
        "authorized_official_first_name": "SHERLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-553-1205"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008070",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCSSA",
            "identifier": "017471",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Richardson, TX
• Providers in Richardson, 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 Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.