Excel of Overland Park LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EXCEL OF OVERLAND PARK LLC

Practice address

5211 W 103Rd St
Overland Park, KS 66207-3154

Phone

(913) 383-2569

NPI assigned

May 15, 2023

Last updated

May 15, 2023By 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

Mark Hastings

Title

Ceo

Phone

(718) 942-3483

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shyam K. Akkulugari, MD., MPH

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1326031006
  NPD (past)

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1871284554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 KNAPP ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351006",
            "telephone_number": "718-942-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 W 103RD ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662073154",
            "telephone_number": "913-383-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL OF OVERLAND PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-942-3483"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Vance Ewart, MD
• Audrey Ewert, RDN
• Emily Ewert
• Kristen Ewing
• Excel ABA Solutions Corp
• Exft, LLC
• Explore Counseling LLC
• Express Imaging LLC
• Extra Mile Mobility LLC
• Eye Associates of North Overland Park

• Skilled Nursing Facility in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.