Excellent Care Health Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010965 Issued in IL

Legal business name

EXCELLENT CARE HEALTH SERVICES INC

Practice address

400 Lake St Ste 306
Roselle, IL 60172-3573

Phone

(630) 893-9010

Fax

(630) 893-9017

NPI assigned

Jul 21, 2009

Last updated

Dec 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sherry R Holmes, R.N

Title

Nursing Director

Phone

(630) 893-9010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447480751. Details of each certification follow.

• CCN 148316 Home health agency · Active · Details

Home health agency certification: CCN 148316

Legal name

EXCELLENT CARE HEALTH SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 17, 2012

Last certification

Mar 26, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 12, 2007 in IL

Enrollment address

400 Lake St
Ste 111a
Roselle, IL 60172-3571

Listed as

Excellent Care Health Services, IncCCN 148316 · All quality measures

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

May 17, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1447480751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LAKE ST SUITE 111A",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723573",
            "telephone_number": "630-893-9010",
            "fax_number": "630-893-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAKE ST STE 306",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723573",
            "telephone_number": "630-893-9010",
            "fax_number": "630-893-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT CARE HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "NURSING DIRECTOR",
        "authorized_official_telephone_number": "630-893-9010",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Roselle, IL
• Providers in Roselle, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.