Provider Demographics
NPI:1154754257
Name:EXCELLENCE HOME CARE SERVICES
Entity type:Organization
Organization Name:EXCELLENCE HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-737-8797
Mailing Address - Street 1:904 W 7TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-2794
Mailing Address - Country:US
Mailing Address - Phone:775-737-9787
Mailing Address - Fax:775-737-9790
Practice Address - Street 1:904 W 7TH ST STE 102
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-2794
Practice Address - Country:US
Practice Address - Phone:775-737-9787
Practice Address - Fax:775-737-9790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-13
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7575PCS-0253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care