EXCELLENT CARE, LLC (NPI# 1164957213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164957213 |
| Entity Type | Organization |
| Organization Name | EXCELLENT CARE, LLC |
| Practice Address |
9514 Kedvale Ave Skokie IL 60076-1425 |
| Practice Telephone | 8473380382 |
| Mailing Telephone | 8473380382 |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |
| Authorized Official Name | RANI YOUSEFZAI (OWNER) |
| Authorized Official Telephone | 8473380382 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EXCELLENT CARE, LLC | 1217 Bay Road, C/o Martin Account Service, Webster, Ny 14580 |
| Street Address |
9514 KEDVALE AVE |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-1425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333944 | Ariq Cabbler | Prevention Professional | 5642 S Prairie Ave Apt 3, Chicago, IL 60637-1575 | 2019-12-18 |
| 1891260931 | Kevin Wayne Kackley | Prevention Professional | 897 850e St, Mt Sterling, IL 62353-1798 | 2018-10-04 |
| 1013436765 | Christen Bridgwater | Prevention Professional | 312 Apple River Dr, Naperville, IL 60565-6324 | 2017-09-13 |
| 1891221958 | Anthony Lopez | Prevention Professional | 14011 Kenton Ave, Crestwood, IL 60445-2252 | 2017-05-11 |
| 1366978686 | Sarina Marie Gutierrez | Prevention Professional | 11501 S Villa Ct, Alsip, IL 60803-4361 | 2017-05-05 |
| 1679008734 | Dr Meda Professional Corporation | Prevention Professional | 1215 N Humphrey Ave, Oak Park, IL 60302-1111 | 2017-04-26 |
| 1801337225 | Danielle Marie Flores | Prevention Professional | 1747 W Goldengate Dr, Addison, IL 60101-1845 | 2017-03-17 |
| 1265039713 | Rashada C James | Prevention Professional | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2020-10-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.