Organization Active NPI

Excel Home Care Agency

  • Counselor
  • Las Vegas, NV
National Provider Identifier
1528395381
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
EXCEL HOME CARE AGENCY
Practice address
4440 S Maryland Pkwy
Suite 101
Las Vegas, NV 89119-7527
Phone
(702) 655-7466
Fax
(702) 642-5722
NPI assigned
Nov 14, 2009
Last updated
Aug 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Miss Ebony A Danford
Title
Project Manager
Phone
(702) 655-7466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NV Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

4440 S Maryland Pkwy
Suite 101
Las Vegas, NV 89119-7527

Mailing address

800 N Rainbow Blvd
Ste 158
Las Vegas, NV 89107-1189
Phone (702) 655-7466

Other names 1

  • EXCEL EXTENDED CARE ORGANIZATION Other name

National Provider Directory

National Provider Directory

Locations

4440 S Maryland Pkwy
Ste 101
Las Vegas, NV 89119
Phone (702) 277-9424

800 N Rainbow Blvd
Ste 158
Las Vegas, NV 89107

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1258156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1528395381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N RAINBOW BLVD",
            "address_2": "STE 158",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071189",
            "telephone_number": "702-655-7466",
            "fax_number": "702-642-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 S MARYLAND PKWY",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197527",
            "telephone_number": "702-655-7466",
            "fax_number": "702-642-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-14",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "DANFORD",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "702-655-7466",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NV",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXCEL EXTENDED CARE ORGANIZATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.