MEDICARE: EXCEPTIONAL HOME CARE SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972894970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCEPTIONAL HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	4809 E BUSCH BLVD
Second Line	:	201
City	:	TAMPA
State	:	FL
Zip	:	33617-6019
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4809 E BUSCH BLVD
Second Line	:	201
City	:	TAMPA
State	:	FL
Zip	:	33617-6019
Country	:	US
Telephone Number	:	813-778-9599
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NICOLIA BARNETT
Credential	:
Telephone Number	:	813-778-9599

Provider Enumeration Date	:	04/25/2011
Last Update Date	:	04/25/2011

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Directions to “EXCEPTIONAL HOME CARE SERVICES ” Practice Location

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