MEDICARE: EXCELSIS UNITED HOME HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3747A0650X	Attendant Care Provider
2	3747P1801X	Personal Care Attendant
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1851190078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCELSIS UNITED HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	2621 EZEKIAL WAY
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-8416
Country	:	US
Telephone Number	:	214-442-3645
Fax Number	:

Provider Business Practice Location Address
First Line	:	2621 EZEKIAL WAY
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-8416
Country	:	US
Telephone Number	:	214-442-3645
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LINDA N OLERU
Credential	:	RN
Telephone Number	:	214-442-3645

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	03/10/2025

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