Provider Demographics
NPI:1871454595
Name:XCLUSIVE HOME SERVICES LLC
Entity type:Organization
Organization Name:XCLUSIVE HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHAVON
Authorized Official - Middle Name:
Authorized Official - Last Name:DABNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-721-3830
Mailing Address - Street 1:8525 FAYWOOD DR APT M
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46239-2254
Mailing Address - Country:US
Mailing Address - Phone:317-721-3830
Mailing Address - Fax:317-721-3830
Practice Address - Street 1:8525 FAYWOOD DR APT M
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46239-2254
Practice Address - Country:US
Practice Address - Phone:317-721-3830
Practice Address - Fax:317-721-3830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-21
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty