Active NPI
Excellence Home Support. Corp
- Home Health Agency
- Miami, FL
National Provider Identifier
1356885495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- EXCELLENCE HOME SUPPORT. CORP
- Practice address
- 12855 SW 136 Ave
Suite 211
Miami, FL 33186 - Phone
- (786) 701-3225
- Fax
- (855) 474-0933
- NPI assigned
- Dec 8, 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
- Ms. Maria D Hernandez Padin, NURSE REGISTRY
- Title
- Administrator
- Phone
- (786) 701-3225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
12855 SW 136 Ave
Suite 211
Miami, FL 33186
Mailing address
12855 SW 136 Ave
Suite 211
Miami, FL 33186
Phone (786) 701-3225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30211880 | Other | FL | NURSE REGISTRY |
National Provider Directory
National Provider Directory- Tax ID family
- Excellence Home Support
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Care Agency
- Miami, FL
- NPI 1619339892
Locations
12855 SW 136th Ave
Ste 201
Miami, FL 33186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481155200000",
"number": "1356885495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12855 SW 136 AVE",
"address_2": "SUITE 211",
"city": "MIAMI",
"state": "FL",
"postal_code": "33186",
"telephone_number": "786-701-3225",
"fax_number": "855-474-0933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12855 SW 136 AVE",
"address_2": "SUITE 211",
"city": "MIAMI",
"state": "FL",
"postal_code": "33186",
"telephone_number": "786-701-3225",
"fax_number": "855-474-0933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCELLENCE HOME SUPPORT. CORP",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-08",
"last_updated": "2016-12-08",
"status": "A",
"authorized_official_last_name": "HERNANDEZ PADIN",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "786-701-3225",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NURSE REGISTRY"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE REGISTRY",
"identifier": "30211880",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Excellence Diagnostic Center
- Excellence Health Medical Center
- Excellence Healthcare, Corp
- Excellence Home Health, Inc
- Excellence Home Support
- Excellence Medical Group Corp
- Excellence Medical Solutions, Inc.
- Excellence Medical Suply, Inc
- Excellence Pharmacy Discount Inc
- Excellence Quality Services Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.