Provider Demographics
NPI:1447480751
Name:EXCELLENT CARE HEALTH SERVICES INC
Entity type:Organization
Organization Name:EXCELLENT CARE HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSING DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:630-893-9010
Mailing Address - Street 1:400 LAKE ST SUITE 111A
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:IL
Mailing Address - Zip Code:60172-3573
Mailing Address - Country:US
Mailing Address - Phone:630-893-9010
Mailing Address - Fax:630-893-9017
Practice Address - Street 1:400 LAKE ST STE 306
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-3573
Practice Address - Country:US
Practice Address - Phone:630-893-9010
Practice Address - Fax:630-893-9017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-21
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010965251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health