Organization Active NPI

Xcellent Healthcare Services

  • Home Health Agency
  • Pooler, GA
National Provider Identifier
1811233315
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
LPNO64789 Issued in GA
Legal business name
XCELLENT HEALTHCARE SERVICES
Practice address
201 Harmony Blvd Apt 703
Pooler, GA 31322-3652
Phone
(912) 272-4267
NPI assigned
Jan 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Latonya Holmes, LPN, BHA, MHA
Title
Owner
Phone
(912) 272-4267

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X
Home Health Agency 251E00000X LPNO64789 GA Primary

Addresses

Primary practice location

201 Harmony Blvd Apt 703
Pooler, GA 31322-3652

Mailing address

201 Harmony Blvd Apt 703
Pooler, GA 31322-3652
Phone (912) 272-4267

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1811233315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HARMONY BLVD APT 703",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313223652",
            "telephone_number": "912-272-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HARMONY BLVD APT 703",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313223652",
            "telephone_number": "912-272-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XCELLENT HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-272-4267",
        "authorized_official_credential": "LPN, BHA, MHA"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "LPNO64789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.