Provider Demographics
NPI:1538184478
Name:EXCLUSIVE HEALTH SERVICES INC.
Entity type:Organization
Organization Name:EXCLUSIVE HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OFONIME
Authorized Official - Middle Name:AKPAN
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-693-1990
Mailing Address - Street 1:112 WESTMINISTER AVE
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4413
Mailing Address - Country:US
Mailing Address - Phone:972-271-8646
Mailing Address - Fax:972-278-5750
Practice Address - Street 1:405 MAYFIELD AVE
Practice Address - Street 2:SUITE A
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-5420
Practice Address - Country:US
Practice Address - Phone:972-271-8646
Practice Address - Fax:972-278-5750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251J00000X
TX010402251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX673122Medicare ID - Type UnspecifiedHOME HEALTH AGENCY