Active NPI
Excellsior Home Health LLC
- Home Health Agency
- Jacksonville, FL
National Provider Identifier
1639747306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Personal Care Attendant | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2242048 | Excellsior Home Health LLC | Certificate of waiver | Nov 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- Excel Anesthesia Consultants LLC
- Excel Beyond Reach Group Home and Support Services, Inc
- Excel Beyond Transportation
- Excel Pharmacy Partners LLC
- Excel Pharmacy Partners LLC
- Excelsior Community Services, LLC
- Excelsior Diagnostics LLC
- Exceptional Comfort and Care, LLC
- Exceptional Wellness of Florida Incorporated
- Exclusive Home Care Agency LLC
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.