Excel Hospice and Palliative Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

16-1074 Issued in OR

Legal business name

EXCEL HOSPICE AND PALLIATIVE CARE LLC

Practice address

10742 SE Highway 212
Clackamas, OR 97015-9144

Phone

(818) 493-8223

Fax

(888) 512-3353

NPI assigned

Jun 18, 2018

Organization subpart

No

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

Authorized official

Name

Desiree Melendres Magcalas, RN

Title

Ceo

Phone

(818) 493-8223

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1922592427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10742 SE HIGHWAY 212",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159144",
            "telephone_number": "818-493-8223",
            "fax_number": "888-512-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10742 SE HIGHWAY 212",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159144",
            "telephone_number": "818-493-8223",
            "fax_number": "888-512-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL HOSPICE AND PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "MAGCALAS",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "MELENDRES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-493-8223",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OR",
            "license": "16-1074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON HEALTH AUTHORITY PUBLIC  HEALTH DIVISON",
            "identifier": "16-1074",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Community Based Hospice Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.