Healthcare Provider Details

I. General information

NPI: 1124911169
Provider Name (Legal Business Name): EXCEPTIONAL STAFFING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3111 WHEATON WAY APT B
ELLICOTT CITY MD
21043-4474
US

IV. Provider business mailing address

11140 ROCKVILLE PIKE STE 100
ROCKVILLE MD
20852-3149
US

V. Phone/Fax

Practice location:
  • Phone: 240-752-8698
  • Fax:
Mailing address:
  • Phone: 240-752-8698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LEILA H DAWA
Title or Position: OWNER/ DIRECTOR OF OPERATIONS
Credential:
Phone: 240-752-8698