Healthcare Provider Details

I. General information

NPI: 1386306132
Provider Name (Legal Business Name): EXCELLIFE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2021
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 GATEWAY BLVD STE 225
CONCORD CA
94520-3294
US

IV. Provider business mailing address

1850 GATEWAY BLVD STE 225
CONCORD CA
94520-3294
US

V. Phone/Fax

Practice location:
  • Phone: 925-450-2050
  • Fax: 925-450-2060
Mailing address:
  • Phone: 925-450-2050
  • Fax: 925-450-2060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JEMILEE DUCO
Title or Position: CEO
Credential:
Phone: 925-450-2050