Active NPI
Excel Personal Services, LLC
- In Home Supportive Care Agency
- Lebanon, IN
National Provider Identifier
1497191647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 13-013219-1
- Legal business name
- EXCEL PERSONAL SERVICES, LLC
- Practice address
- 1102 S Lebanon St
Lebanon, IN 46052-2717 - Phone
- (765) 482-6680
- Fax
- (765) 482-6690
- NPI assigned
- May 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shari L Pryor
- Title
- Manager
- Phone
- (765) 482-6680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 13-013219-1 | IN | Primary |
Addresses
Primary practice location
1102 S Lebanon St
Lebanon, IN 46052-2717
Mailing address
1102 S Lebanon St
Lebanon, IN 46052-2717
Phone (765) 482-6680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13-013219-1 | Other | IN | STATE LICENSURE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368576000000",
"number": "1497191647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 S LEBANON ST",
"city": "LEBANON",
"state": "IN",
"postal_code": "460522717",
"telephone_number": "765-482-6680",
"fax_number": "765-482-6690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 S LEBANON ST",
"city": "LEBANON",
"state": "IN",
"postal_code": "460522717",
"telephone_number": "765-482-6680",
"fax_number": "765-482-6690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEL PERSONAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-15",
"last_updated": "2013-05-15",
"status": "A",
"authorized_official_last_name": "PRYOR",
"authorized_official_first_name": "SHARI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "765-482-6680",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "IN",
"license": "13-013219-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSURE",
"identifier": "13-013219-1",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.