Provider Demographics
NPI:1194230185
Name:EXCELLENCY HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:EXCELLENCY HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZAHRA
Authorized Official - Middle Name:ABDI
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:614-429-9337
Mailing Address - Street 1:5064 EDGELEY DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-3410
Mailing Address - Country:US
Mailing Address - Phone:614-429-9337
Mailing Address - Fax:
Practice Address - Street 1:2655 NORTHLAND PLAZA DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4052
Practice Address - Country:US
Practice Address - Phone:614-313-8323
Practice Address - Fax:614-313-8323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-12
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health