Excelhomehealthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EXCELHOMEHEALTHCARE LLC

Practice address

43555 White Cap Ter
Chantilly, VA 20152-5824

Phone

(703) 887-1702

NPI assigned

Dec 2, 2019

Last updated

Dec 2, 2019By 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

Hibo Haji JamaNPI 1821643230

Title

Owner

Phone

(703) 887-1702

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• excelhomehealthcare,LLC Former legal business name

Electronic endpoints 1

Tax ID family

Excelhomehealthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Excelhomehealthcare LLC

  • Home Health Agency
  • Chantilly, VA
  • NPI 1033753579
  NPD tax ID

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.

• Hibo Ismail Haji Jama

  • Home Health Agency
  • Chantilly, VA
  • NPI 1821643230
  NPD Authorized official

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1942847645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43555 WHITE CAP TER",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201525824",
            "telephone_number": "703-887-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43555 WHITE CAP TER",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201525824",
            "telephone_number": "703-887-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELHOMEHEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "HAJI JAMA",
        "authorized_official_first_name": "HIBO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-887-1702"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HCO-202073",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chantilly",
            "affiliation": "N",
            "address_1": "43555 White Cap Ter",
            "city": "Chantilly",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201525824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "excelhomehealthcare,LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Fairfax Falls Church Community Service Board
• Fairfax Medical Lab LLC

• Home Health Agency in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.