Provider Demographics
NPI:1699136861
Name:STANDARD OF EXCELLENCE LLC.
Entity type:Organization
Organization Name:STANDARD OF EXCELLENCE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GHAYDAA
Authorized Official - Middle Name:
Authorized Official - Last Name:HANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-210-8480
Mailing Address - Street 1:38801 STEEPLE CHASE APT 28105
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-4943
Mailing Address - Country:US
Mailing Address - Phone:248-210-8480
Mailing Address - Fax:877-405-6659
Practice Address - Street 1:38801 STEEPLE CHASE APT 28105
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-4943
Practice Address - Country:US
Practice Address - Phone:248-210-8480
Practice Address - Fax:877-405-6659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care