Excellent Care Services Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

366892 Issued in MN

Legal business name

EXCELLENT CARE SERVICES INC.

Practice address

3003 43Rd St NW
Suite 106
Rochester, MN 55901-7037

Phone

(507) 289-0338

NPI assigned

Oct 10, 2014

Organization subpart

No

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

Authorized official

Name

Abiodun Akinbolu

Title

President/Ceo

Phone

(507) 289-0338

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1831593441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 43RD ST NW",
            "address_2": "SUITE 106",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559017037",
            "telephone_number": "507-289-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 43RD ST NW",
            "address_2": "SUITE 106",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559017037",
            "telephone_number": "507-289-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "AKINBOLU",
        "authorized_official_first_name": "ABIODUN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "507-289-0338"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "366892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA DEPARTMENT OF HEALTH",
            "identifier": "366892",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A837683000",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A787675100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A812373000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Ann Ewert, MS, RDN, LD
• Jeffrey Thomas Ewertz, RN
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• Jason Ewoldt, R.D., L.D
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• Yamen Ezaizi, MD

• Home Health Agency in Rochester, MN
• Providers in Rochester, MN by specialty
• Home Health Agency in Minnesota

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