Organization Active NPI

Care Excellence LLC

  • Adult Medicine Physician
  • Youngstown, OH
National Provider Identifier
1952950453
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
CARE EXCELLENCE LLC
Doing business as
Care Excellence LLC
Practice address
3622 Belmont Ave Ste 20
Youngstown, OH 44505-1444
Phone
(740) 381-3616
NPI assigned
Sep 6, 2019
Last updated
Sep 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Carletta C Williams, APRNNPI 1396080313
Title
Owner
Phone
(740) 381-3616

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
Adult Medicine Physician 207QA0505X Primary

Addresses

Primary practice location

3622 Belmont Ave Ste 20
Youngstown, OH 44505-1444

Mailing address

448 Westwood Dr
Steubenville, OH 43953-3647
Phone (740) 381-3616

Other names 1

  • Care Excellence LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191205001132 OH Part B Supplier - Clinic/Group Practice 2961835962 Receives reassigned benefits from 1 practitioner
Practice locations: Youngstown, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2174228Care Excellence LLC3622 Belmont Ave, Youngstown, OH 44505Certificate of waiverOct 28, 2027

National Provider Directory

National Provider Directory

Locations

3622 Belmont Ave
Ste 20
Youngstown, OH 44505
Phone (234) 855-0061

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20486/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1952950453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 WESTWOOD DR",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439533647",
            "telephone_number": "740-381-3616",
            "fax_number": "740-282-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 BELMONT AVE STE 20",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051444",
            "telephone_number": "740-381-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE EXCELLENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CARLETTA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-381-3616",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Excellence LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.