Excellence Home Care Nurse Registry, LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EXCELLENCE HOME CARE NURSE REGISTRY, LLC.

Practice address

12995 S Cleveland Ave Ste 52
Fort Myers, FL 33907-7752

Phone

(239) 710-0150

Fax

(239) 790-1328

NPI assigned

Oct 11, 2021

Organization subpart

No

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

Authorized official

Name

Liviam Maturell

Title

President

Phone

(239) 710-0150

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1932861697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12995 S CLEVELAND AVE STE 52",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077752",
            "telephone_number": "239-710-0150",
            "fax_number": "239-790-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12995 S CLEVELAND AVE STE 52",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077752",
            "telephone_number": "239-710-0150",
            "fax_number": "239-790-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE HOME CARE NURSE REGISTRY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "MATURELL",
        "authorized_official_first_name": "LIVIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-710-0150"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.