Healthcare Provider Details

I. General information

NPI: 1851905111
Provider Name (Legal Business Name): XCLUSIVE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2020
Last Update Date: 04/05/2022
Certification Date: 04/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17245 NW 71ST PL
HIALEAH FL
33015-7100
US

IV. Provider business mailing address

17245 NW 71ST PL
HIALEAH FL
33015-7100
US

V. Phone/Fax

Practice location:
  • Phone: 305-303-2169
  • Fax:
Mailing address:
  • Phone: 305-303-2169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MICHEL INSIGNARES
Title or Position: CEO
Credential:
Phone: 305-930-1285