EXCELLENT CARE INCORPORATED (NPI# 1235474099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235474099 |
| Entity Type | Organization |
| Organization Name | EXCELLENT CARE INCORPORATED |
| Other Organization Name | LOVING CARE INCORPORATED |
| Practice Address |
1801 Nw 134th St Miami FL 33167-1545 |
| Mailing Address |
Po Box 823038 Pembroke Pines FL 33082-3038 |
| Practice Telephone | 3056871853 |
| Mailing Telephone | 9548658085 |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |
| Authorized Official Name | MR. PATRICK BLANC (PRESIDENT) |
| Authorized Official Telephone | 3058658085 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | FL | Residential Treatment Facilities | |
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
FL | Respite Care Facility | |
| N | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
FL | Respite Care Facility | |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | FL | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 687611198 | 05 | |
| FL | 687611196 | 05 |
| Other Name | Type Code |
|---|---|
| Loving Care Incorporated | Former Legal Business Name - Organization |
| Street Address |
1801 NW 134TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33167-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183711 | Yusleydi Almaguer | Behavioral Analyst | 1205 Nw 116 Terr, Miami, FL 33167 | 2017-06-09 |
| 1952833477 | Lakeashi Lewis | Custodial Care Facility | 11910 N.w 19 Ave. #a, Miami, FL. 33167 | 2017-04-03 |
| 1326499617 | Roilan Hernandez | Behavior Technician | 12525 Nw 18th Ct, Miami, FL 33167 | 2016-06-28 |
| 1083064497 | Sierra Watkins | Behavioral Analyst | 15710 Nw 37th Place, Miami, FL 33167 | 2016-06-16 |
| 1790022093 | Adryanas Tech Codding One Corp | Contractor | 1363 Nw118th St, Miami, FL 33167 | 2013-01-08 |
| 1366574220 | Jose M Jules | Respiratory Therapist, Certified | 14611 Nw 13rd, Miami, FL 33167 | 2007-03-09 |
| 1881614212 | Synergy Pharmacy & Medical Supplies | Durable Medical Equipment & Medical Supplies | 1543 Nw 119 St, Miami, FL 33167 | 2006-07-20 |
| 1255362877 | Phanord & Associates Pa | Dentist | 1245 Nw 119 St, Miami, FL 33167 | 2006-07-05 |
| 1194761213 | Mary Cecilia Crosby | Dentist | 1245 Nw 119th Street, North Miami, FL 33167 | 2006-06-20 |
| 1669998605 | Whitney Victoria Drayton | Pharmacist | 6200 Nw 7th Ave, Miami, FL 33167 | 2017-08-22 |
| Find all providers in zip 33167 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073081915 | A Loving Care Group Home, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1250 Nw 72nd St, Miami, FL 33147-6416 | 2018-11-08 |
| 1578011920 | Mauricio Martin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 20342 Sw 129th Pl, Miami, FL 33177-5506 | 2016-09-14 |
| 1730560434 | Jesus Group Home LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15504 Sw 104th Ave, Miami, FL 33157-1458 | 2015-06-18 |
| 1841696929 | Dream Team Group Home, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3653 Nw 4th Ter, Miami, FL 33125-4073 | 2014-11-17 |
| 1508149931 | Friendly Hearts Group Home Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10542 Sw 161st Ave, Miami, FL 33196-4574 | 2011-09-21 |
| 1437459377 | Norland Gardens Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 19615 Nw 12th Ct, Miami, FL 33169-3080 | 2010-10-26 |
| 1154518686 | Mactown, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 151 Ne 62nd St, Miami, FL 33138-5926 | 2007-09-28 |
| 1609073725 | Vada Arlene Mertens | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 407 16 Blvd Sw, Miami, OK 74354 | 2007-07-02 |
| 1568503456 | Mactown, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6250 Ne 1st Pl, Miami, FL 33138-5904 | 2007-02-12 |
| 1417027491 | Baker Group Home, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6965 Nw 21st Court, Miami, FL 33147-6961 | 2006-11-08 |
| Find all providers in MIAMI | ||||
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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.