EXCELLENCE HEALTH WOUND CARE LLC
NPI 1215633441
Registered Nurse - Wound Care in Daytona Beach, FL
About Excellence Health Wound Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EXCELLENCE HEALTH WOUND CARE LLC (NPI 1215633441), doing business as Excellence Health Wound Care, is a healthcare organization registered as a wound care in Daytona Beach, Florida and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through November 3, 2027 and lists Husam Eddin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Excellence Health Wound Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Excellence Health Wound Care LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2242070
Excellence Health · Daytona Beach, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Excellence Health Wound Care LLC's NPI number?
The NPI number for Excellence Health Wound Care LLC is 1215633441. It was assigned to this organization in the NPPES registry on January 31, 2023. The provider is doing business as Excellence Health Wound Care.
Where is Excellence Health Wound Care LLC located?
Excellence Health Wound Care LLC is located at 1630 Mason Ave Ste C, Daytona Beach, FL 32117. The listed phone number is (386) 238-9064.
What is Excellence Health Wound Care LLC's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Wound Care, with taxonomy code 163WW0000X.
Is Excellence Health Wound Care LLC enrolled in Medicare?
Yes. Excellence Health Wound Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Excellence Health Wound Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Excellence Health Wound Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Family Practice (1) and General Practice (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Excellence Health Wound Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2242070) is associated with this NPI, valid through November 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Excellence Health Wound Care LLC was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Excellence Health Wound Care Llc · NPI 1215633441
Wound Care organization in Daytona Beach, Florida. Organization record, active in the CMS NPPES registry since January 31, 2023.
## Identity
- **NPI:** 1215633441 (Entity type: Organization)
- **Enumerated:** January 31, 2023
- **Primary specialty:** Registered Nurse - Wound Care · taxonomy 163WW0000X
- **Also known as:** Excellence Health Wound Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Husam Eddin, OWNER
## Practice location
- **Address:** 1630 MASON AVE STE C, Daytona Beach, FL 32117-4503
- **Phone:** (386) 238-9064 · **Fax:** (386) 238-9063
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (1), General Practice (1); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1215633441) · Data from the CMS NPPES public registry.