Organization Active NPI

Excelcare Health Services

  • Home Health Registered Nurse
  • Peachtree City, GA
National Provider Identifier
1124223284
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN179142 Issued in GA
Legal business name
EXCELCARE HEALTH SERVICES
Practice address
3200 Shakerag HL
Suite B
Peachtree City, GA 30269-6511
Phone
(678) 902-0200
Fax
(678) 902-0201
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Angella Francis, RN
Title
Chief Nursing Officer
Phone
(678) 902-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X RN179142 GA Primary

Addresses

Primary practice location

3200 Shakerag HL
Suite B
Peachtree City, GA 30269-6511

Mailing address

3200 Shakerag HL
Suite B
Peachtree City, GA 30269-6511
Phone (678) 902-0200

National Provider Directory

National Provider Directory
Tax ID family
Excelcare Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3200 Shakerag Hl
Ste B
Peachtree City, GA 30269
Phone (770) 629-2424

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124223284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SHAKERAG HL",
            "address_2": "SUITE B",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696511",
            "telephone_number": "678-902-0200",
            "fax_number": "678-902-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SHAKERAG HL",
            "address_2": "SUITE B",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696511",
            "telephone_number": "678-902-0200",
            "fax_number": "678-902-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELCARE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "ANGELLA",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "678-902-0200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "RN179142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.