Organization Active NPI

Excell Home Health Services, Inc

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1861521858
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXCELL HOME HEALTH SERVICES, INC
Practice address
195 N Harbor Dr
Suite 4909
Chicago, IL 60601-7514
Phone
(630) 202-7009
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Teresita Easterling, RN
Title
Owner
Phone
(630) 202-7009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

195 N Harbor Dr
Suite 4909
Chicago, IL 60601-7514

Mailing address

195 N Harbor Dr
Suite 4909
Chicago, IL 60601-7514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090129000634 IL Part A Provider - Home Health Agency 9931263332 Practice locations: Chicago, IL

Home health agency certification: CCN 148235

Legal name
EXCELL HOME HEALTH SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 27, 2011
Last certification
Dec 18, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 19, 2007 in IL
Enrollment address
195 N Harbor Drive
Suite 4909
Chicago, IL 60601-7540
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Excell Home Health Services, IncCCN 148235
Ownership
Proprietary
Certified
Jan 27, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Teresita Easterling Individual 5% Or Greater Direct Ownership InterestOwner Dec 3, 2008 100%
Corporate OfficerDon May 2, 2009
Corporate Director May 2, 2009
W-2 Managing EmployeeAsst Admin May 2, 2009

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1861521858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 N HARBOR DR",
            "address_2": "SUITE 4909",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 N HARBOR DR",
            "address_2": "SUITE 4909",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017514",
            "telephone_number": "630-202-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELL HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "EASTERLING",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-202-7009",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.