Organization Active NPI

Excellsior Home Health LLC

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1639747306
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXCELLSIOR HOME HEALTH LLC
Practice address
11437 Central Pkwy Ste 106
Jacksonville, FL 32224-2706
Phone
(904) 525-5755
NPI assigned
Jun 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Wilatreal Curry
Title
Owner/President
Phone
(904) 525-5755

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

11437 Central Pkwy Ste 106
Jacksonville, FL 32224-2706

Mailing address

11437 Central Pkwy Ste 106
Jacksonville, FL 32224-2706
Phone (904) 525-5755

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2242048Excellsior Home Health LLC11437 Central Pkwy Ste 106, Jacksonville, FL 32224Certificate of waiverNov 3, 2027

National Provider Directory

National Provider Directory

Locations

11437 Central Pkwy
Ste 106
Jacksonville, FL 32224
Phone (904) 525-5755

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1639747306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11437 CENTRAL PKWY STE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242706",
            "telephone_number": "904-525-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11437 CENTRAL PKWY STE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242706",
            "telephone_number": "904-525-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLSIOR HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "CURRY",
        "authorized_official_first_name": "WILATREAL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "904-525-5755"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.