# EXCELSIOR HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EXCELSIOR HOME CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801249578
- **Legal business name:** EXCELSIOR HOME CARE
- **Authorized official:** OLUCHI N UGAH (CEO/MANAGER)
- **Authorized official phone:** (857) 413-6893

## Contact information

- **Practice address:** 1458 HANCOCK ST, SUITE 228, QUINCY, MA 02169-5214
- **Practice address phone:** (857) 413-6893
- **Mailing address:** 1458 HANCOCK ST STE 228, P.O,BOX 2500, QUINCY, MA 02169-5214
- **Mailing address phone:** (857) 413-6893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2016
- **Last updated:** 07/19/2016