American Excel Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

C3729588 Issued in CA

Legal business name

AMERICAN EXCEL HOME HEALTH CARE, INC.

Practice address

2755 Cottage Way Ste 12
Sacramento, CA 95825-1221

Phone

(623) 206-7386

NPI assigned

Nov 3, 2016

Last updated

Nov 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Evelyn Justimbaste, RN, BSN

Title

President

Phone

(623) 206-7386

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821540162. Details of each certification follow.

• CCN 757268 Home health agency · Active · Details

Home health agency certification: CCN 757268

Legal name

AMERICAN EXCEL HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 26, 2023

Last certification

Mar 23, 2023

Organization structure

CorporationProprietary

Incorporated

Nov 24, 2014 in CA

Enrollment address

2755 Cottage Way
Ste 12
Sacramento, CA 95825-1221

Listed as

American Excel Home Health CareCCN 757268 · All quality measures

Ownership

-

Certified

Apr 26, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ron Billano Ordona, NP

  • Family Nurse Practitioner
  • Lincoln, CA
  • NPI 1184050171

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1821540162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 COTTAGE WAY STE 12",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251221",
            "telephone_number": "623-206-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 COTTAGE WAY STE 12",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251221",
            "telephone_number": "623-206-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN EXCEL HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "JUSTIMBASTE",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-206-7386",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "C3729588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.