Excel Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

200220000574 Issued in OH

Legal business name

EXCEL HEALTH SERVICES LLC

Practice address

110 Polaris Pkwy
Ste 325
Westerville, OH 43082-8024

Phone

(614) 794-0006

Fax

(614) 794-2735

NPI assigned

Jun 13, 2006

Last updated

Apr 18, 2016By 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

Emilia Oduah

Title

Administrator

Phone

(614) 794-0006

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215970090. Details of each certification follow.

• CCN 368044 Home health agency · Active · Details

Home health agency certification: CCN 368044

Legal name

EXCEL HEALTH SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 4, 2004

Last certification

Mar 6, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Aug 13, 2002 in OH

Enrollment address

4889 Sinclair Rd
Ste 115
Columbus, OH 43229-5433

Listed as

Excel Health ServicesCCN 368044 · All quality measures

Ownership

Proprietary

Certified

Feb 4, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1215970090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 POLARIS PKWY",
            "address_2": "STE 325",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828024",
            "telephone_number": "614-794-0006",
            "fax_number": "614-794-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 POLARIS PKWY",
            "address_2": "STE 325",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828024",
            "telephone_number": "614-794-0006",
            "fax_number": "614-794-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "ODUAH",
        "authorized_official_first_name": "EMILIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-794-0006"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "200220000574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2469029",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.