EXCELLENT LIFESTYLE SERVICES INC
NPI 1376426924
Clinic/Center in Miami, FL

Active since July 30, 2025
777 NW 72 AVE, R2102, MIAMI, FL 33126(954) 669-4235 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Excellent Lifestyle Services Inc NPPES

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

EXCELLENT LIFESTYLE SERVICES INC (NPI 1376426924) is a healthcare organization registered as a clinic/center in Miami, Florida and active in the NPI registry since July 2025. The organization lists Ludmila De La Concepcion, Director, as its authorized official.

NPPES Registry Identity

NPI1376426924
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEXCELLENT LIFESTYLE SERVICES INC
Location Address777 NW 72 AVE, R2102Miami, FL 33126-3009
Mailing Address777 Nw 72 Ave, R2102Miami, FL 33126-3009 · (954) 669-4235
Organization SubpartNo
Authorized OfficialLudmila De La ConcepcionDirector · (954) 669-4235
Enumeration DateJuly 30, 2025
✔ NPI 1376426924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
777 NW 72 AVE, Miami, FL 33126

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Excellent Lifestyle Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Excellent Lifestyle Services Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Practice
NPI 1467846295
12801 SW 148TH STREET RD
Miami, FL 33186
(786) 226-7588
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Excellent Lifestyle Services Inc's NPI number?

The NPI number for Excellent Lifestyle Services Inc is 1376426924. It was assigned to this organization in the NPPES registry on July 30, 2025.

Where is Excellent Lifestyle Services Inc located?

Excellent Lifestyle Services Inc is located at 777 NW 72 Ave R2102, Miami, FL 33126. The listed phone number is (954) 669-4235.

What is Excellent Lifestyle Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Excellent Lifestyle Services Inc enrolled in Medicare?

Yes. Excellent Lifestyle Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Excellent Lifestyle Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Excellent Lifestyle Services Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Excellent Lifestyle Services Inc was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.