Organization Active NPI

Excelsior Healthcare II LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1730692997
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXCELSIOR HEALTHCARE II LLC
Practice address
4841 Lexington Ave
Saint Louis, MO 63115-2013
Phone
(314) 267-4004
Fax
(314) 899-9949
NPI assigned
Nov 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Authorized official

Name
Mr. Michael Q Boyd
Title
Ceo
Phone
(314) 267-4004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MO Primary

Addresses

Primary practice location

4841 Lexington Ave
Saint Louis, MO 63115-2013

Mailing address

4841 Lexington Ave
Saint Louis, MO 63115-2013
Phone (314) 267-4004

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1730692997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 LEXINGTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631152013",
            "telephone_number": "314-267-4004",
            "fax_number": "314-899-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 LEXINGTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631152013",
            "telephone_number": "314-267-4004",
            "fax_number": "314-899-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIOR HEALTHCARE II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-267-4004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.