Excel Foster Care Agency

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

EXCEL FOSTER CARE AGENCY

Practice address

3810 Herons Landing Dr
Reno, NV 89502-7204

Phone

(775) 221-1787

NPI assigned

Oct 3, 2014

Organization subpart

No

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

Authorized official

Name

Edith Wynn

Title

Member

Phone

(775) 221-1787

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1376946368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 HERONS LANDING DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895027204",
            "telephone_number": "775-221-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 HERONS LANDING DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895027204",
            "telephone_number": "775-221-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL FOSTER CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "775-221-1787"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.