MEDICARE: XCEL HEALTHCARE PROVIDERS, 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

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

General Provider Information

NPI Number	:	1790803807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XCEL HEALTHCARE PROVIDERS, INC.

Provider Business Mailing Address
First Line	:	1991 LEE RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2571
Country	:	US
Telephone Number	:	216-426-9996
Fax Number	:	216-426-9802

Provider Business Practice Location Address
First Line	:	1991 LEE RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2571
Country	:	US
Telephone Number	:	216-426-9996
Fax Number	:	216-426-9802

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. BOBBIE JEAN STANICH
Credential	:
Telephone Number	:	216-426-9996

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	05/18/2016

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