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EXCELLENCE HEALTH CARE AT HOME, LLC
NPI 1336906080
Family Medicine in Daytona Beach, FL

Active since February 29, 2024
1630 MASON AVE STE C, DAYTONA BEACH, FL 32117(386) 238-9064 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Excellence Health Care At Home, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXCELLENCE HEALTH CARE AT HOME, LLC (NPI 1336906080) is a healthcare organization registered as a family medicine in Daytona Beach, Florida and active in the NPI registry since February 2024. The organization lists Husam Eddin, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1336906080
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEXCELLENCE HEALTH CARE AT HOME, LLC
Location Address1630 MASON AVE STE CDaytona Beach, FL 32117-4503
Mailing Address1630 Mason Ave Ste CDaytona Beach, FL 32117-4503
Phone(386) 238-9064
Organization SubpartNo
Authorized OfficialHusam EddinChief Executive Officer · (386) 238-9064
Enumeration DateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1336906080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1630 MASON AVE STE C, Daytona Beach, FL 32117
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH DALLOS APRN
Nurse Practitioner (Gerontology)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Volusia County (386) 238-9064
EXCELLENCE HEALTH WOUND CARE LLC
Registered Nurse (Wound Care)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Volusia County (386) 238-9064
RADHARANI S. GOLLAMUDI M.D.
Internal Medicine
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Volusia County (386) 238-9064
KRISTIN L WULFF MD
Surgery
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Volusia County (386) 238-9064
EXCELLENCE HEALTH SPECIALIST LLC
Internal Medicine (Sleep Medicine)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Volusia County (386) 238-9064
EXCELLENCE HEALTH, LLC
Family Medicine
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Volusia County (386) 238-9064
HEATHER SMITH APRN
Nurse Practitioner (Family)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Volusia County (386) 238-9064
EMMA LAURA EMS ARNP
Nurse Practitioner (Gerontology)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Volusia County (386) 238-9064

Frequently 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 Care At Home, LLC's NPI number?

The NPI number for Excellence Health Care At Home, LLC is 1336906080. It was assigned to this organization in the NPPES registry on February 29, 2024.

Where is Excellence Health Care At Home, LLC located?

Excellence Health Care At Home, 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 Care At Home, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Excellence Health Care At Home, LLC was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.