Active NPI
Excel Homecare, Inc.
- In Home Supportive Care Agency
- Brentwood, NY
National Provider Identifier
1104369339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- EXCEL HOMECARE, INC.
- Practice address
- 21 1St St
Brentwood, NY 11717-6601 - Phone
- (631) 949-9064
- NPI assigned
- Nov 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lekeisha Hall
- Title
- President
- Phone
- (631) 704-0699
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
21 1St St
Brentwood, NY 11717-6601
Mailing address
21 1St St
Brentwood, NY 11717-6601
Phone (631) 949-9064
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Brentwood, NY
- NPI 1568903896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479600000000",
"number": "1104369339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 1ST ST",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117176601",
"telephone_number": "631-949-9064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 1ST ST",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117176601",
"telephone_number": "631-949-9064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEL HOMECARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-20",
"last_updated": "2016-11-20",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "LEKEISHA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-704-0699"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.