Organization Active NPI

Excellence in Home Health Services LLC

  • Home Health Agency
  • Land O Lakes, FL
National Provider Identifier
1407496904
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXCELLENCE IN HOME HEALTH SERVICES LLC
Practice address
3134 Whitehead LN
Land O Lakes, FL 34638-7200
Phone
(813) 417-1128
Fax
(866) 470-3118
NPI assigned
Jan 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Vincentp P Deluca
Title
Consultant
Phone
(941) 323-3717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3134 Whitehead LN
Land O Lakes, FL 34638-7200

Mailing address

3134 Whitehead LN
Land O Lakes, FL 34638-7200
Phone (813) 417-1128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200730003819 FL Part A Provider - Home Health Agency 5395160816 Practice locations: Tampa, FL

Home health agency certification: CCN 687157

Legal name
EXCELLENCE IN HOME HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 22, 2021
Last certification
Dec 22, 2021
Organization structure
LLCProprietary
Incorporated
Dec 12, 2019 in FL
Enrollment address
2701 W Busch Blvd
Ste 155
Tampa, FL 33618-4512

Care Compare: Home health agency

Medicare Care Compare
Listed as
Excellence in Home Health Services LLCCCN 687157
Overall star rating
2 of 5
Ownership
-
Certified
Dec 22, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2189501Excellence in Home Health Services LLC2701 W Busch Blvd - Ste 155, Tampa, FL 33618Certificate of waiverJul 30, 2026

National Provider Directory

National Provider Directory

Locations

2701 W Busch Blvd
Ste 155
Tampa, FL 33618
Phone (813) 649-8102

Ownership & related parties

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.

NameRoleSinceShare
Ivonne a Encarnacion Individual 5% Or Greater Direct Ownership Interest Dec 12, 2019 50%
Corporate DirectorBoard Member Dec 12, 2019 50%
W-2 Managing EmployeeBoard Member Dec 12, 2019
Ana Rivero-Pons Individual 5% Or Greater Direct Ownership Interest Dec 12, 2019 50%
Corporate DirectorBoard Member Dec 12, 2019 50%
W-2 Managing EmployeeBoard Member Dec 12, 2019

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1407496904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3134 WHITEHEAD LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387200",
            "telephone_number": "813-417-1128",
            "fax_number": "866-470-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3134 WHITEHEAD LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387200",
            "telephone_number": "813-417-1128",
            "fax_number": "866-470-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE IN HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "DELUCA",
        "authorized_official_first_name": "VINCENTP",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "941-323-3717"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

Verify at the official NPI Registry.