Healthcare Provider Details

I. General information

NPI: 1336682541
Provider Name (Legal Business Name): EXCEL PRIMARY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2016
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29149 FM 493 UNIT 235
HARGILL TX
78549-0235
US

IV. Provider business mailing address

PO BOX 235
HARGILL TX
78549-0235
US

V. Phone/Fax

Practice location:
  • Phone: 956-368-7879
  • Fax: 956-368-7771
Mailing address:
  • Phone: 956-368-7879
  • Fax: 956-368-7771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: JOEL CANTU
Title or Position: ADMINISTRATOR
Credential:
Phone: 956-368-7879