Healthcare Provider Details

I. General information

NPI: 1497668057
Provider Name (Legal Business Name): EXCEPTIONAL HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5516 OSBORN DR
MCFARLAND WI
53558-9072
US

IV. Provider business mailing address

3640 BRECKENRIDGE CT APT 10
FITCHBURG WI
53713-3601
US

V. Phone/Fax

Practice location:
  • Phone: 512-590-4256
  • Fax:
Mailing address:
  • Phone: 512-590-4256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: DEKA SHEIKH
Title or Position: COORDINATOR
Credential: CNA
Phone: 512-590-4256