Excellis Incorporated

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EXCELLIS INCORPORATED

Practice address

15 Stonewain CT Apt 2B
Towson, MD 21204-1279

Phone

(443) 766-5549

NPI assigned

Jul 14, 2023

Last updated

Jul 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Muyideen Haruna, PHD IN VIEW

Title

Administrator

Phone

(443) 766-5549

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1083393177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 STONEWAIN CT APT 2B",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212041279",
            "telephone_number": "443-766-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STONEWAIN CT APT 2B",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212041279",
            "telephone_number": "443-766-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLIS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "HARUNA",
        "authorized_official_first_name": "MUYIDEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "443-766-5549",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD IN VIEW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Towson, MD
• Providers in Towson, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.