=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952239238
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EXCEL HOME CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/08/2026
-----------------------------------------------------
Last Update Date | 05/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7125 W LAUREL LN
-----------------------------------------------------
City | PEORIA
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85345-8943
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-772-7051
-----------------------------------------------------
Fax | 602-908-4063
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7125 W LAUREL LN
-----------------------------------------------------
City | PEORIA
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85345-8943
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-772-7051
-----------------------------------------------------
Fax | 602-908-4063
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PARTNER
-----------------------------------------------------
Name | DENNIS VALENTINE
-----------------------------------------------------
Credential | AL MANAGER
-----------------------------------------------------
Telephone | 602-812-9539
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------