Healthcare Provider Details

I. General information

NPI: 1649815473
Provider Name (Legal Business Name): EXCEED HOME HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2019
Last Update Date: 01/14/2020
Certification Date: 01/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 WARREN ST STE 34
HACKENSACK NJ
07601-5436
US

IV. Provider business mailing address

15 WARREN ST STE 34
HACKENSACK NJ
07601-5436
US

V. Phone/Fax

Practice location:
  • Phone: 718-864-3438
  • Fax:
Mailing address:
  • Phone:
  • 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 Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TETYANA RYAZANOVA
Title or Position: PRESIDENT
Credential:
Phone: 973-939-6626