Active NPI
Excelcare Health Services
- Home Health Registered Nurse
- Peachtree City, GA
National Provider Identifier
1124223284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN179142
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 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 Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Care Agency
- Peachtree City, GA
- NPI 1558566893
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.