Organization Active NPI

Excell Home Care & Hospice Inc

  • Community Based Hospice Care Agency
  • Oklahoma City, OK
National Provider Identifier
1881674620
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
4151 Issued in OK
Legal business name
EXCELL HOME CARE & HOSPICE INC
Practice address
1200 SW 104TH St
Ste D
Oklahoma City, OK 73139
Phone
(405) 631-0521
Fax
(405) 631-2661
NPI assigned
Jan 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Mrs. Mina B Acquaye, RN BSN MPH CHCE
Title
Ceo/Administrator
Phone
(405) 631-0521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 4151 OK Primary

Addresses

Primary practice location

1200 SW 104TH St
Ste D
Oklahoma City, OK 73139

Mailing address

1200 SW 104TH St
Ste D
Oklahoma City, OK 73139
Phone (405) 631-0521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Nov 1, 2017 Change of OwnershipThis provider was the seller Excell HospiceCCN 371610, OK, NPI 1255858379

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1881674620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SW 104TH ST",
            "address_2": "STE D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73139",
            "telephone_number": "405-631-0521",
            "fax_number": "405-631-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SW 104TH ST",
            "address_2": "STE D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73139",
            "telephone_number": "405-631-0521",
            "fax_number": "405-631-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELL HOME CARE & HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "ACQUAYE",
        "authorized_official_first_name": "MINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "405-631-0521",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN BSN MPH CHCE"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "4151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.