Excel in Care Home Health Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EXCEL IN CARE HOME HEALTH AGENCY, LLC

Practice address

819 Walnut Park Dr
Suffolk, VA 23434-4159

Phone

(757) 725-1018

Fax

(757) 970-0909

NPI assigned

Nov 11, 2022

Organization subpart

No

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

Authorized official

Name

Shannon Marketa Gray, RNNPI 1699409771

Title

Administrator

Phone

(757) 725-1018

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Marketa Gray, RN

  • Administrator Registered Nurse
  • Suffolk, VA
  • NPI 1699409771
  NPD Authorized official

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1043928633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 WALNUT PARK DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344159",
            "telephone_number": "757-725-1018",
            "fax_number": "757-970-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 WALNUT PARK DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344159",
            "telephone_number": "757-725-1018",
            "fax_number": "757-970-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL IN CARE HOME HEALTH AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MARKETA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-725-1018",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Evans
• Lachelle Evans, FNP-C
• Sharon Hyatt Evans, CCC-SLP
• Shionda M Evans, LCSW
• Everett Service Provider Multi Medical Group
• Expressions Home Health Care
• Exquisite Comfort Home Care LLC
• Extended Hands LLC
• Kasha Denna Fadoul, FNP-BC
• Charles Joseph Fairbanks

• Home Health Agency in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.