Exceller Support Solutions LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EXCELLER SUPPORT SOLUTIONS LLC

Practice address

168 Lisbon St FL 2
Lewiston, ME 04240-7234

Phone

(207) 310-3101

NPI assigned

Jan 9, 2023

Last updated

Dec 24, 2024By 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

Kevin Garnon Nishimwe

Title

Chief Executive Officer (Ceo)

Phone

(207) 352-8710

Specialties & licenses 2

Addresses

Tax ID family

Exceller Support Solutions LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Exceller Support Solutions LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lewiston, ME
  • NPI 1659214161
  NPD tax ID

Locations

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1841904588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 LISBON ST FL 2",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407234",
            "telephone_number": "207-310-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 LISBON ST FL 2",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407234",
            "telephone_number": "207-310-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLER SUPPORT SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A",
        "authorized_official_last_name": "NISHIMWE",
        "authorized_official_first_name": "KEVIN GARNON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER (CEO)",
        "authorized_official_telephone_number": "207-352-8710"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evening Light Supportive Living LLC
• Eventus Maine LLC
• Eventus Maine LLC
• Thomas Ewing, MD
• Exceller Support Solutions LLC
• Alyssa Fabianek, OTD, OTR/L, CBIS
• Fable Home Care LLC
• Warren Facendola, NP
• Facing Change, P.a.
• Facing Change, PA

• In Home Supportive Care Agency in Lewiston, ME
• Providers in Lewiston, ME by specialty
• In Home Supportive Care Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.