Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
EXCELLENCE COMMUNITY REHABILITATION PROGRAM LLC
Active
Organization
EXCELLENCE COMMUNITY REHABILITATION PROGRAM LLC
Active
Other names
Excellence Community Residential Properties, ECRP
Organization subpart
No
Provider details
NPI number
Authorized official
MISS OCTAVIA ASKEW PH.D (PROGRAM DIRECTOR/ADMINISTRATOR)
(424) 789-0439
Entity
Organization
Contact information
Practice address
37025 LA CONTEMPO AVE, PALMDALE, CA 93550-7351
(424) 789-0439
Mailing address
1607 E PALMDALE BLVD STE G, PALMDALE, CA 93550-7801
(424) 789-0439
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197610283
ADULT RESIDENTIAL FACILITY LICENSE
CA
Enumeration date
08/16/2022
Last updated
02/22/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers