Excel Hospitality Group, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL17250 Issued in FL

Legal business name

EXCEL HOSPITALITY GROUP, LLC

Practice address

15000 N Highway 441
Eustis, FL 32726-6589

Phone

(352) 609-2040

Fax

(352) 609-2041

NPI assigned

Jun 27, 2016

Organization subpart

No

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

Authorized official

Name

Vikrum Patel, M.D.

Title

Managing Partner

Phone

(321) 662-1017

Specialties & licenses 2

Addresses

Other names 1

• Regency Park Assisted Living Doing business as

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

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1396196861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 N HIGHWAY 441",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266589",
            "telephone_number": "352-609-2040",
            "fax_number": "352-609-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 N HIGHWAY 441",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266589",
            "telephone_number": "352-609-2040",
            "fax_number": "352-609-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL HOSPITALITY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIKRUM",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "321-662-1017",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL17250",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "FL",
            "license": "AL17250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Park Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eustis Family Dental Spa, LLC
• Eustis Family Medicine
• Eustis Senior Care Inc
• Kimberly Ann Evans, RN
• Jennifer Everland, PTA
• Rebecca Anne Fallucca Fails, DPT
• Family Care on Eustis Square PA
• Flor Farinas, LMHC
• Amanda Jo Farley, M.ED, BCBA
• Tessa Bryn Farrell, PTA

• Assisted Living Facility in Eustis, FL
• Providers in Eustis, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.