NPIMap

Organization Active NPI

Excel Home Care, Inc.

  • Home Health Agency
  • Creve Coeur, MO
National Provider Identifier
1487712774
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
855173308 Issued in MO
Legal business name
EXCEL HOME CARE, INC.
Practice address
10845 Olive Blvd Ste 165
Creve Coeur, MO 63141-7760
Phone
(314) 991-3689
Fax
(314) 991-3750
NPI assigned
Dec 5, 2006
Organization subpart
Yes
Parent organization
EXCEL HOME CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Mr. Ilya Eydelman
Title
Director
Phone
(314) 991-3689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 855173308 MO Primary

Addresses

Primary practice location

10845 Olive Blvd Ste 165
Creve Coeur, MO 63141-7760

Mailing address

10845 Olive Blvd Ste 165
Creve Coeur, MO 63141-7760
Phone (314) 991-3689

Other identifiers 1

IdentifierTypeStateIssuer
855173308MedicaidMO

Other names 1

  • WellHome Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Excel Home Care Inc4 organizations share this tax ID, including this one
Part of
Excel Home Care Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1487712774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10845 OLIVE BLVD STE 165",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417760",
            "telephone_number": "314-991-3689",
            "fax_number": "314-991-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10845 OLIVE BLVD STE 165",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417760",
            "telephone_number": "314-991-3689",
            "fax_number": "314-991-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL HOME CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXCEL HOME CARE, INC.",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "EYDELMAN",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-991-3689",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "855173308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "855173308",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellHome",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.