Excelsia Mo, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

EXCELSIA MO, LLC

Practice address

4434 S Lindbergh Blvd
Saint Louis, MO 63127-1647

Phone

(410) 933-5678

NPI assigned

Dec 4, 2023

Organization subpart

No

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

Authorized official

Name

John Wall

Title

Chief Legal Officer

Phone

(412) 496-5959

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1447026141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 PULASKI PARK DR STE 417",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212201409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 S LINDBERGH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271647",
            "telephone_number": "410-933-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIA MO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "412-496-5959"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Excel Medical Services LLC (Oakville Medical Equipment)
• Excelcare Home Health Services LLC
• Excellent Choice in Home Health Care Inc.
• Excellent Home Care LLC
• Excellent Home Health Care LLC
• Excelsior Healthcare II LLC
• Excelsior Healthcare LLC
• Exceptioanl Care in Home Services Inc
• Exceptional Care Home Health Inc
• Exceptional Care LLC

• Multi-Specialty Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Multi-Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.