Excelsior Community Services, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

EXCELSIOR COMMUNITY SERVICES, LLC

Practice address

101 Century 21 Dr
Ste 109B
Jacksonville, FL 32216-8115

Phone

(904) 619-1972

NPI assigned

Dec 8, 2015

Organization subpart

No

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

Authorized official

Name

Deborah Ann McKenzie

Title

Owner/Ceo

Phone

(904) 559-5975

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Rachel Adams, BA

  • Social Worker
  • Jacksonville, FL
  • NPI 1982150959
  NPD (past)

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1962877530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CENTURY 21 DR",
            "address_2": "STE 109B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168115",
            "telephone_number": "904-619-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CENTURY 21 DR",
            "address_2": "STE 109B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168115",
            "telephone_number": "904-619-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIOR COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "904-559-5975"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016492600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Excellsior Home Health LLC
• Excelsior Diagnostics LLC
• Exceptional Comfort and Care, LLC
• Exceptional Wellness of Florida Incorporated
• Exclusive Home Care Agency LLC
• Exie-Lent Transportation, LLC

• Case Management Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.