Healthcare Provider Details

I. General information

NPI: 1871454595
Provider Name (Legal Business Name): XCLUSIVE HOME SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8525 FAYWOOD DR APT M
INDIANAPOLIS IN
46239-2254
US

IV. Provider business mailing address

8525 FAYWOOD DR APT M
INDIANAPOLIS IN
46239-2254
US

V. Phone/Fax

Practice location:
  • Phone: 317-721-3830
  • Fax: 317-721-3830
Mailing address:
  • Phone: 317-721-3830
  • Fax: 317-721-3830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MISS SHAVON DABNEY
Title or Position: ADMINISTRATOR
Credential:
Phone: 317-721-3830