Excel Care Health Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011282 Issued in IL

Legal business name

EXCEL CARE HEALTH SERVICES INC

Practice address

7301 N Lincoln Ave
Suite 175
Lincolnwood, IL 60712-1709

Phone

(847) 675-8090

Fax

(847) 675-8091

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Issam Maatouk, MDNPI 1013051705

Title

Owner

Phone

(847) 810-9095

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 147977

Legal name

EXCEL CARE HEALTH SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 12, 2007

Last certification

Dec 13, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 18, 2005 in IL

Enrollment address

7301 N Lincoln Ave
Ste 185
Lincolnwood, IL 60712-1736
HHA Branch

Listed as

On Site Rehab and Nursing Care Inc.CCN 147977 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Jun 12, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Issam Moussa Maatouk, M.D.

  • Internal Medicine Physician
  • Lincolnwood, IL
  • NPI 1013051705

  5% Or Greater Indirect Ownership Interest, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Issam Moussa Maatouk, M.D.

  • Internal Medicine Physician
  • Lincolnwood, IL
  • NPI 1013051705
  NPD Authorized official

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Charlie F Gude, M.D.

  • Family Medicine Physician
  • Oakbrook Terrace, IL
  • NPI 1336202894

  Home health agency

  Care Compare affiliation
• Maria Socorro James-Silva, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1780764084

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1366455438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 N LINCOLN AVE",
            "address_2": "SUITE 175",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121709",
            "telephone_number": "847-675-8090",
            "fax_number": "847-675-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 N LINCOLN AVE",
            "address_2": "SUITE 175",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121709",
            "telephone_number": "847-675-8090",
            "fax_number": "847-675-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL CARE HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "MAATOUK",
        "authorized_official_first_name": "ISSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-810-9095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1011282",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Uzoma B Emeakoroha, PHARMD
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• Home Health Agency in Lincolnwood, IL
• Providers in Lincolnwood, 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 Jun 26, 2015; 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.