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NPI Code Detail

MEDICARE: XCELLENT HOME HEALTH CARE INC

MEDICARE: XCELLENT HOME HEALTH CARE 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
1251E00000XHome Health Agency

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PENDING MEDICARE NUMOTHERFLPENDING MEDICARE NUMBER

General Provider Information

NPI Number : 1447409107
Entity Type Code : Organization
Provider Name (Legal Business Name) : XCELLENT HOME HEALTH CARE INC
Provider Business Mailing Address
First Line : 3350 SW 148TH AVE
Second Line : SUITE 220
City : MIRAMAR
State : FL
Zip : 33027-3257
Country : US
Telephone Number : 954-734-2774
Fax Number : 954-874-2821
Provider Business Practice Location Address
First Line : 3350 SW 148TH AVE
Second Line : SUITE 220
City : MIRAMAR
State : FL
Zip : 33027-3257
Country : US
Telephone Number : 954-734-2774
Fax Number : 954-874-2821
Authorized Official
Title or Position : PRESIDENT
Name : MICHAEL M TORRES
Credential :
Telephone Number : 954-734-2774
Provider Enumeration Date : 09/17/2008
Last Update Date : 09/17/2008

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Practice Location Address:
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1417255928 — PRESTIGIOUS HOME HEALTH CARE INC
Practice Location Address:
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Practice Fax: 305-818-6609

Directions to “XCELLENT HOME HEALTH CARE INC ” Practice Location

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