Healthcare Provider Details

I. General information

NPI: 1578893103
Provider Name (Legal Business Name): EXCEL HOME HEALTH CARE L.P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2010
Last Update Date: 01/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5622 DELMAR BLVD SUITE 101 EAST
SAINT LOUIS MO
63112-2600
US

IV. Provider business mailing address

4 CROOKHAM CT
FLORISSANT MO
63033-4801
US

V. Phone/Fax

Practice location:
  • Phone: 314-361-7775
  • Fax: 314-361-7776
Mailing address:
  • Phone: 314-361-7775
  • Fax: 314-361-7776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: MRS. JANETTE HAMILTON
Title or Position: NURSING DIRECTOR/OWNER
Credential: REGISTERED NURSE
Phone: 314-741-8735