Excellent Homecare Provider Services, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

014960 Issued in TX

Legal business name

EXCELLENT HOMECARE PROVIDER SERVICES, INC.

Practice address

2900 Mossrock
Suite: 370
San Antonio, TX 78230-5133

Phone

(866) 357-8372

Fax

(800) 305-2613

NPI assigned

Aug 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Henry W McInnis

Title

Administrator

Phone

(281) 988-5304

Specialties & licenses 1

Addresses

Other names 1

• Merida Health Care Group Doing business as

Locations

Practitioners 2

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

• Eunice Kanu, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
  • NPI 1417482670
  NPD (past)
• Rodney Ysa Mesquias, FNP-C

  • Family Nurse Practitioner
  • Castle Hills, TX
  • NPI 1720438104
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1952393316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1230",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785511230",
            "telephone_number": "866-357-8372",
            "fax_number": "800-305-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MOSSROCK",
            "address_2": "SUITE: 370",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305133",
            "telephone_number": "866-357-8372",
            "fax_number": "800-305-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT HOMECARE PROVIDER SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "MCINNIS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-988-5304",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "014960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merida Health Care Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.