Exceptional Deliverance Homecare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EXCEPTIONAL DELIVERANCE HOMECARE

Practice address

484 Fruitwood Ter
Williamsville, NY 14221-1910

Phone

(716) 424-7335

NPI assigned

Apr 8, 2024

Last updated

Apr 8, 2024By 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

Mrs. Shanika JacksonNPI 1356125157

Title

Ceo

Phone

(716) 424-7335

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shanika Jackson

  • Mental Health Counselor
  • Williamsville, NY
  • NPI 1356125157

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1093568206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 FRUITWOOD TER",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211910",
            "telephone_number": "716-424-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 FRUITWOOD TER",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211910",
            "telephone_number": "716-424-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL DELIVERANCE HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHANIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-424-7335",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Evans, MD
• John D Evans
• Raymond Corey Evans, DC
• Shalondra Evans, LPN
• Charles Willard Everett, M.D.
• Exigence Arkansas Tennessee LLC
• Eye Care and Vision Assoc. LLP
• Eye Care and Vision Associates Ophthalmology LLP
• Eye Care Professionals of Western New York LLP
• Eye Health Associates Inc

• Home Health Agency in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.