EXELLE HOME CARE (NPI# 1427384783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427384783 |
| Entity Type | Organization |
| Organization Name | EXELLE HOME CARE |
| Practice Address |
105 Silverthorn Drive Tyrone GA 30290 |
| Mailing Address |
P.o. Box 394 Tyrone GA 30290 |
| Practice Telephone | 6786707569 |
| Practice Fax Number | 7707037862 |
| Mailing Telephone | 6786707569 |
| Mailing Fax Number | 7707037862 |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2016-05-25 |
| Authorized Official Name | MR. DESMOND THORPE (ADMINISTRATOR) |
| Authorized Official Telephone | 6786707569 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 060R0163 | GA | Agencies |
| Y | 251J00000X | Nursing Care | 060R0163 | GA | Agencies |
| Street Address |
105 SILVERTHORN DRIVE |
| City | TYRONE |
| State | GA |
| Zip Code | 30290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407215361 | Kaitlin Lackey | Occupational Therapist | 105 Glendalough Court, Suite H, Tyrone, GA 30290 | 2016-02-19 |
| 1114211745 | Johannes Daniel Smit | Pharmacist | 525 Valleywood Drive, Tyrone, GA 30290 | 2011-05-31 |
| 1760700199 | Georgia Integrative Medicine | Preventive Medicine | 120 Milbrook Village Drive, Suite E, Tyrone, GA 30290 | 2010-05-10 |
| 1386884138 | Genesys Ob/gyn, LLC | Clinic/Center | 245 Greencastle Road, Tyrone, GA 30290 | 2009-03-05 |
| 1689858805 | Immediate Care Centers of Georgia, LLC | Clinic/Center | 190 Greencastle Rd., Tyrone, GA 30290 | 2007-12-24 |
| 1437212834 | Dawn M Coffman | Physician Assistant | 190 Handley Rd., Tyrone, GA 30290 | 2006-12-18 |
| 1912971805 | Jason Rex Lee | Dentist | 195 Greencastle Rd, Tyrone, GA 30290 | 2006-02-15 |
| 1053898759 | Heather Renee Ellis | Physical Therapist | 62 Carriage Oaks Dr, Tyrone, GA 30290 | 2018-07-25 |
| 1134630858 | Marjorie Yvette Elibert | Advanced Practice Midwife | 190 Handley Rd Ste A, Tyrone, GA 30290 | 2017-10-20 |
| 1407973936 | Genesys Family Practice, Inc. | Family Medicine | 120 Handley Rd, Suite 410, Tyrone, GA 30290 | 2007-03-22 |
| Find all providers in zip 30290 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800115 | Recarlo King | Nursing Care | 1863 Clay Rd Sw, Mableton, GA 30126-1100 | 2020-10-27 |
| 1205435575 | Angelic Touch Cares, LLC | Nursing Care | 1705 Bertram Ln Sw, Marietta, GA 30008-4141 | 2020-10-19 |
| 1730787136 | Lucienne Home Care LLC | Nursing Care | 2407 Hi Roc Rd Ne, Conyers, GA 30012-2541 | 2020-10-16 |
| 1609482793 | Express Yourself, LLC | Nursing Care | 5141 Wellsley Bnd, Alpharetta, GA 30005-5067 | 2020-09-23 |
| 1952917106 | Chosen Healthcare Services, LLC | Nursing Care | 818 Panola Rd, Ellenwood, GA 30294-3034 | 2020-09-22 |
| 1578179313 | Standard Homecare of Augusta,llc | Nursing Care | 4583 Coldwater St, Grovetown, GA 30813-4065 | 2020-09-17 |
| 1033724638 | Jennifer Melton | Nursing Care | 1888 Hollywood Rd Nw Unit 7401, Atlanta, GA 30318-3206 | 2020-09-10 |
| 1710591425 | Sharon Mckenzie | Nursing Care | 2203 Cumberland Pkwy Se Unit 401, Atlanta, GA 30339-4513 | 2020-09-01 |
| 1831703636 | Uniqueangleshomecareservices | Nursing Care | 257 Maner Ter Se, Atlanta, GA 30339-1930 | 2020-08-31 |
| 1235741489 | Saegcyhealthcare | Nursing Care | 1301 Westwood Dr Apt G, Albany, GA 31721-6237 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
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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.