Xcellent Investments

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011298 Issued in IL

Legal business name

XCELLENT INVESTMENTS

Doing business as

HomeMedic HealthCare

Practice address

801 E 169TH PL
South Holland, IL 60473-3033

Phone

(708) 331-8148

NPI assigned

Sep 28, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jeffery Jermaine Waddy, MSED

Title

Administrator

Phone

(708) 331-8148

Specialties & licenses 1

Addresses

Other names 1

• HomeMedic HealthCare Doing business as

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1174806954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E 169TH PL",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733033",
            "telephone_number": "708-331-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E 169TH PL",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733033",
            "telephone_number": "708-331-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XCELLENT INVESTMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "WADDY",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "JERMAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-331-8148",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeMedic HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in South Holland, IL
• Providers in South Holland, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.