Healthcare Provider Details

I. General information

NPI: 1326427899
Provider Name (Legal Business Name): EXCEPTIONAL HOME CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2015
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21419 JAMAICA AVE
QUEENS VILLAGE NY
11428-1726
US

IV. Provider business mailing address

21419 JAMAICA AVE
QUEENS VILLAGE NY
11428-1726
US

V. Phone/Fax

Practice location:
  • Phone: 718-775-1677
  • Fax: 718-413-4200
Mailing address:
  • Phone: 718-775-1677
  • Fax: 718-413-4200

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 Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: VIDIA BALKARAN
Title or Position: OWNER
Credential: EA CAA
Phone: 718-775-1677