=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700749272
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | E.X.I HEALTH LLC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/03/2025
-----------------------------------------------------
Last Update Date | 12/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12813 FLUSHING DR. STE. 140
-----------------------------------------------------
City | DES PERES
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63131
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-810-2799
-----------------------------------------------------
Fax | 636-200-1952
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12813 FLUSHING DR. STE. 140
-----------------------------------------------------
City | DES PERES
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63131
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-810-2799
-----------------------------------------------------
Fax | 636-200-1952
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | AUTHORIZED OFFICIAL
-----------------------------------------------------
Name | BRITTANY SIMPSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 314-810-2799
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------