EXCEL PERSONAL DEVELOPMENT (EXCEL TUTORING AND PERSONAL DEVELOPMENT) NPI 1942321328

Case Management in Lillington, NC

Organization

About EXCEL PERSONAL DEVELOPMENT (EXCEL TUTORING AND PERSONAL DEVELOPMENT)

Excel Personal Development (excel Tutoring And Personal Development) is a provider established in Lillington, North Carolina specializing in case management. The NPI number of Excel Personal Development (excel Tutoring And Personal Development) is 1942321328 and was assigned on April 2007. The practitioner's primary taxonomy code is 251B00000X. The provider is registered as an organization and their NPI record was last updated August 2020. The provider's is doing business as Excel Personal Development. The authorized official of this NPI record is Mr. John Tillman (President)

NPI

1942321328

Provider NameEXCEL PERSONAL DEVELOPMENT (EXCEL TUTORING AND PERSONAL DEVELOPMENT)
Provider Location Address209 W FRONT ST LILLINGTON, NC 27546
Provider Mailing Address8520 CLIFF CAMERON DR SUITE 460 CHARLOTTE, NC 28269
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameEXCEL PERSONAL DEVELOPMENT
Other Name TypeDoing Business As (3)
Enumeration Date04-03-2007
Last Update Date08-22-2020

Primary Taxonomy

Taxonomy Code251B00000X
ClassificationCase Management
TypeAgencies
Taxonomy DescriptionAn organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Business Address

EXCEL PERSONAL DEVELOPMENT
209 W FRONT ST
LILLINGTON, NC
ZIP 27546
Phone: (910) 814-8090

Get Directions

Mailing Address

EXCEL PERSONAL DEVELOPMENT
8520 CLIFF CAMERON DR
SUITE 460
CHARLOTTE, NC
ZIP 28269
Phone: (704) 510-1535
Fax: (704) 940-8060

Authorized Official

Authorized Official NameMR. JOHN TILLMAN
Authorized Official TitlePRESIDENT
Authorized Official Phone(704) 510-1535

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1251B00000XAgenciesCase ManagementN/A

Taxonomy Description: an organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

2251S00000XAgenciesCommunity/Behavioral HealthN/A

Taxonomy Description: a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
8300761MEDICAID (05)NC

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932364932 JUDITH ERYN HAGAN
Individual
Occupational Therapist209 W FRONT ST
LILLINGTON, NC 27546
(910) 893-1118

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.