Healthcare Provider Details

I. General information

NPI: 1639846355
Provider Name (Legal Business Name): EXXELCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2021
Last Update Date: 08/31/2021
Certification Date: 08/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 LAWNDALE ST
CELINA TX
75009-1646
US

IV. Provider business mailing address

917 LAWNDALE ST
CELINA TX
75009-1646
US

V. Phone/Fax

Practice location:
  • Phone: 571-315-0560
  • Fax:
Mailing address:
  • Phone: 571-315-0560
  • 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 Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LUCY BLANKSON
Title or Position: VP/ADMIN/DON
Credential:
Phone: 571-315-0560