Active NPI
Excelcare Health Services, LLC
Doing business as ExcelCare Nursing Services
- Nursing Care Agency
- Peachtree City, GA
National Provider Identifier
1558566893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 056-R-0206
- Legal business name
- EXCELCARE HEALTH SERVICES, LLC
- Doing business as
- ExcelCare Nursing Services
- Practice address
- 3200 Shakerag Hill Suite B
Peachtree City, GA 30269 - Phone
- (678) 902-0200
- Fax
- (678) 902-0201
- NPI assigned
- Jun 18, 2007
- 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. Angella Francis, RN
- Title
- Director of Nursing
- Phone
- (678) 902-0200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 056-R-0206 | GA | Primary |
Addresses
Primary practice location
3200 Shakerag Hill Suite B
Peachtree City, GA 30269
Mailing address
21 Eastbrook BND Ste 110
Peachtree City, GA 30269-1546
Phone (678) 902-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 668077693B | Medicaid | GA |
Other names 1
- ExcelCare Nursing Services
National Provider Directory
National Provider Directory- Tax ID family
- Excelcare Health Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Registered Nurse
- Peachtree City, GA
- NPI 1124223284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317600000000",
"number": "1558566893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 EASTBROOK BND STE 110",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691546",
"telephone_number": "678-902-0200",
"fax_number": "678-902-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SHAKERAG HILL SUITE B",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "30269",
"telephone_number": "678-902-0200",
"fax_number": "678-902-0201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCELCARE HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-18",
"last_updated": "2011-10-03",
"status": "A",
"authorized_official_last_name": "FRANCIS",
"authorized_official_first_name": "ANGELLA",
"authorized_official_title_or_position": "DIRECTOR OF NURSING",
"authorized_official_telephone_number": "678-902-0200",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "GA",
"license": "056-R-0206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "668077693B",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ExcelCare Nursing Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.