Healthcare Provider Details

I. General information

NPI: 1447409107
Provider Name (Legal Business Name): XCELLENT HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2008
Last Update Date: 09/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 SW 148TH AVE SUITE 220
MIRAMAR FL
33027-3257
US

IV. Provider business mailing address

3350 SW 148TH AVE SUITE 220
MIRAMAR FL
33027-3257
US

V. Phone/Fax

Practice location:
  • Phone: 954-734-2774
  • Fax: 954-874-2821
Mailing address:
  • Phone: 954-734-2774
  • Fax: 954-874-2821

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: MICHAEL M TORRES
Title or Position: PRESIDENT
Credential:
Phone: 954-734-2774