Healthcare Provider Details

I. General information

NPI: 1497600688
Provider Name (Legal Business Name): EXCELLENCE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 PRESTON WOODS TRL
SANDY SPRINGS GA
30338-5400
US

IV. Provider business mailing address

133 PRESTON WOODS TRL
SANDY SPRINGS GA
30338-5400
US

V. Phone/Fax

Practice location:
  • Phone: 763-656-9261
  • Fax:
Mailing address:
  • Phone: 763-656-9261
  • 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: FAITHJOY Y DENNIS
Title or Position: OWNER
Credential: MBA
Phone: 763-656-9261