Healthcare Provider Details

I. General information

NPI: 1790803807
Provider Name (Legal Business Name): XCEL HEALTHCARE PROVIDERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 05/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1991 LEE RD
CLEVELAND HEIGHTS OH
44118-2571
US

IV. Provider business mailing address

1991 LEE RD
CLEVELAND HEIGHTS OH
44118-2571
US

V. Phone/Fax

Practice location:
  • Phone: 216-426-9996
  • Fax: 216-426-9802
Mailing address:
  • Phone: 216-426-9996
  • Fax: 216-426-9802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. BOBBIE JEAN STANICH
Title or Position: ADMINISTRATOR
Credential:
Phone: 216-426-9996