THE EXCEL GROUP (NPI# 1104091701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104091701 |
| Entity Type | Organization |
| Organization Name | THE EXCEL GROUP |
| Practice Address |
106 E 1st St Yuma AZ 85364-1450 |
| Mailing Address |
106 East First Street Yuma AZ 85364-1450 |
| Practice Telephone | 9283410409 |
| Practice Fax Number | 9283298950 |
| Mailing Telephone | 9283410409 |
| Mailing Fax Number | 9283298950 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | MISS DENISE ANN ROUBA (PMHNP/PNP) |
| Authorized Official Telephone | 9283410409 |
| Authorized Official Credential | PMHNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | F401029-1 | NY | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447308721 | The Excel Group | Community/Behavioral Health | 2549 S Arizona Ave, Yuma, AZ 85364-7332 | 2007-01-05 |
| 1871671529 | The Excel Group | Community/Behavioral Health | 3250c E 40th St, Yuma, AZ 85365-7748 | 2006-11-01 |
| 1699858399 | The Excel Group | Community/Behavioral Health | 3180 E 40th St, Yuma, AZ 85365-7772 | 2006-10-24 |
| 1609959311 | The Excel Group | Community/Behavioral Health | 2501 S Arizona Ave, Yuma, AZ 85364-7332 | 2006-10-24 |
| 1306929161 | The Excel Group | Substance Abuse Rehabilitation Facility | 3250b E 40th St, Yuma, AZ 85365-7748 | 2006-10-23 |
| 1649352170 | The Excel Group | Community/Behavioral Health | 1021 S Kofa Ave, Parker, AZ 85344-5021 | 2006-10-20 |
| 1043390990 | The Excel Group | Community/Behavioral Health | 679 N First Ave, San Luis, AZ 85349-2837 | 2006-10-16 |
| 1003996968 | The Excel Group | Community/Behavioral Health | 730 W Cowell St, Quartzsite, AZ 85346-4104 | 2006-10-16 |
| 1952481814 | The Excel Group | Community/Behavioral Health | 28671 Los Angeles Avenue, Wellton, AZ 85356-0179 | 2006-10-16 |
| 1407812274 | The Excel Group | Community/Behavioral Health | 3220 E 40th St, Yuma, AZ 85365-7748 | 2006-04-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | THE EXCEL GROUP ENTERPRISE LLC | 24-06 Broadway Ste 1, Fair Lawn, Nj 07410 |
| Street Address |
106 E 1ST ST |
| City | YUMA |
| State | AZ |
| Zip Code | 85364-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235352352 | Ashley Bruce Hart II | Psychologist | 106 E 1st St, Suite D, Yuma, AZ 85364-1450 | 2007-04-10 |
| 1255411120 | The Excel Group | Community/Behavioral Health | 106 E 1st St, Yuma, AZ 85364-1450 | 2006-10-16 |
| 1265537948 | Clint T. Diaz | Counselor | 106 E 1st St, Yuma, AZ 85364-1450 | 2006-09-14 |
| 1306875265 | Rick Dion Diaz | Counselor | 106 E 1st St, Yuma, AZ 85364-1450 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073007423 | Nani's Home | Intermediate Care Facility, Mental Illness | 4267 W Calle Don Clemente, Tucson, AZ 85746-8500 | 2018-06-19 |
| 1134676166 | Papa's Home | Intermediate Care Facility, Mental Illness | 8784 E Desert Lupine Pl, Tucson, AZ 85715-5911 | 2016-09-07 |
| 1770038564 | South Mountain Holistic Care | Intermediate Care Facility, Mental Illness | 3219 W Olney Ave, Laveen, AZ 85339-1783 | 2016-08-22 |
| 1760831507 | A-plus Care, LLC | Intermediate Care Facility, Mental Illness | 1626 E Dust Devil Dr, San Tan Valley, AZ 85143-4447 | 2016-06-11 |
| 1902250616 | Juniper Home | Intermediate Care Facility, Mental Illness | 10221 E Juniper Basin Ln, Tucson, AZ 85748-6767 | 2016-04-19 |
| 1396107041 | Carmen's Home | Intermediate Care Facility, Mental Illness | 7466 E 18th St, Tucson, AZ 85710-4907 | 2016-03-22 |
Please comment or provide details below to improve the information on THE EXCEL GROUP.
| 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.