Organization Active NPI

Excelsior HHA

  • Personal Care Attendant
  • Plantation, FL
National Provider Identifier
1912591298
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
EXCELSIOR HHA
Practice address
1320 SW 82ND Ter Apt 422
Plantation, FL 33324-3221
Phone
(954) 399-1391
NPI assigned
Feb 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Authorized official

Name
Sharniece JamisonNPI 1083209225
Title
Home Health Aide
Phone
(954) 399-1391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

1320 SW 82ND Ter Apt 422
Plantation, FL 33324-3221

Mailing address

7750 Okeechobee Blvd Ste 4
West Palm Beach, FL 33411-2106

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1912591298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 OKEECHOBEE BLVD STE 4",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 SW 82ND TER APT 422",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243221",
            "telephone_number": "954-399-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIOR HHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "SHARNIECE",
        "authorized_official_title_or_position": "HOME HEALTH AIDE",
        "authorized_official_telephone_number": "954-399-1391"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.