Excel Home Healthcare Agency & DME

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EXCEL HOME HEALTHCARE AGENCY & DME

Practice address

1100 Logger CT Ste D100
Raleigh, NC 27609

Phone

(919) 800-0221

Fax

(919) 800-0221

NPI assigned

Oct 14, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Momodou Jaiteh

Title

Owner

Phone

(919) 601-6723

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1760792568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LOGGER CT STE D100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098509",
            "telephone_number": "919-800-0221",
            "fax_number": "919-800-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LOGGER CT STE D100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-800-0221",
            "fax_number": "919-800-0221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4084 Barrett Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096604",
            "country_code": "US",
            "telephone_number": "919-601-6723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXCEL HOME HEALTHCARE AGENCY & DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "JAITEH",
        "authorized_official_first_name": "MOMODOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-601-6723",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4250",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "136624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.