Excelle Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

21353601 Issued in PA

Legal business name

EXCELLE CARE LLC

Practice address

2646 S Daggett St
Philadelphia, PA 19142-2805

Phone

(267) 819-6979

NPI assigned

Jan 10, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Derrick E Galmore Sr.

Title

Ceo

Phone

(267) 819-6979

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1427395474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 S DAGGETT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422805",
            "telephone_number": "267-819-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 S DAGGETT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422805",
            "telephone_number": "267-819-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "GALMORE",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-819-6979",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "21353601",
            "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 Jan 10, 2013; 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.