Active NPI
Excellence Home Physicians
- Internal Medicine Physician
- Troy, MI
National Provider Identifier
1609391382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- EXCELLENCE HOME PHYSICIANS
- Practice address
- 3150 Livernois Rd Ste 165
Troy, MI 48083-5061 - Phone
- (248) 996-8446
- Fax
- (248) 996-8261
- NPI assigned
- Aug 3, 2017
- 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
- Geoffrey Jimenez
- Title
- Owner
- Phone
- (310) 276-7388
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Primary Podiatric Medicine Podiatrist | 213EP1101X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
3150 Livernois Rd Ste 165
Troy, MI 48083-5061
Mailing address
3150 Livernois Rd Ste 165
Troy, MI 48083-5061
Phone (248) 996-8446
National Provider Directory
National Provider DirectoryLocations
3150 Livernois Rd
Ste 165
Troy, MI 48083
Phone (248) 707-0136
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse's Aide
- Southfield, MI
- NPI 1295343135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673827200000",
"number": "1609391382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150 LIVERNOIS RD STE 165",
"city": "TROY",
"state": "MI",
"postal_code": "480835061",
"telephone_number": "248-996-8446",
"fax_number": "248-996-8261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 LIVERNOIS RD STE 165",
"city": "TROY",
"state": "MI",
"postal_code": "480835061",
"telephone_number": "248-996-8446",
"fax_number": "248-996-8261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCELLENCE HOME PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-03",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A",
"authorized_official_last_name": "JIMENEZ",
"authorized_official_first_name": "GEOFFREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-276-7388"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
- Evergreen Medical Equipment, Inc.
- Evoke Counseling LLC
- Evolution Chiropractic Health and Sport Fitness
- Natalie Ewald, OTRL
- Nicholas C Ewing, D.C.
- Excellent Therapy Services PLLC
- Executive Home Assistance Co
- Marcia Diane Exner, M.A., C.C.C.-SLP
- Expert Care Physical Therapy LLC
- Expert Home Health Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.