MEDICARE: EXCEPTIONAL HOME CARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588686521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCEPTIONAL HOME CARE

Provider Business Mailing Address
First Line	:	2817 STARK ST STE A
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-6562
Country	:	US
Telephone Number	:	817-457-8324
Fax Number	:

Provider Business Practice Location Address
First Line	:	2817 STARK ST STE A
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-6562
Country	:	US
Telephone Number	:	817-457-8324
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	ASHLEY M STRAWTHER
Credential	:
Telephone Number	:	817-457-8324

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	02/27/2024

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Directions to “EXCEPTIONAL HOME CARE ” Practice Location

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