MEDICARE: EXCLUSIVE HOME HEALTH AND HOSPICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	010203	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	458134	OTHER	TX	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	VENDOR# 001017137	OTHER	TX	CBA/HCSS (REGION 11)
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	VENDOR# 001017135	OTHER	TX	CBA/HCSS (REGION 8)
5	451734	OTHER		HOSPICE
6	VENDOR# 001017134	OTHER	TX	PHC/FC (REGION 8)
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	VENDOR# 001017136	OTHER	TX	PHC/FC (REGION 11)

General Provider Information

NPI Number	:	1326153891
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCLUSIVE HOME HEALTH AND HOSPICE INC

Provider Business Mailing Address
First Line	:	PO BOX 1300
Second Line	:
City	:	BEEVILLE
State	:	TX
Zip	:	78104-1300
Country	:	US
Telephone Number	:	361-358-2468
Fax Number	:	361-358-3861

Provider Business Practice Location Address
First Line	:	112 N SAINT MARYS ST
Second Line	:
City	:	BEEVILLE
State	:	TX
Zip	:	78102-4605
Country	:	US
Telephone Number	:	361-358-2468
Fax Number	:	361-358-3861

Authorized Official
Title or Position	:	BUSINESS DIRECTOR
Name	:	MORGAN OSTROVSKIY
Credential	:
Telephone Number	:	361-358-2468

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	01/12/2022

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Directions to “EXCLUSIVE HOME HEALTH AND HOSPICE INC ” Practice Location

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