EXCELLENCE COMMUNITY REHABILITATION PROGRAM LLC – NPI #1184342099
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

EXCELLENCE COMMUNITY REHABILITATION PROGRAM LLC is a residential treatment facility located in PALMDALE, CA. NPPES has assigned the NPI number 1184342099 to EXCELLENCE COMMUNITY REHABILITATION PROGRAM LLC on August 16, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 3 years ago on Feb 22, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXCELLENCE COMMUNITY REHABILITATION PROGRAM LLC below.

NPI Profile for
EXCELLENCE COMMUNITY REHABILITATION PROGRAM LLC

NPI Number
1184342099
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EXCELLENCE COMMUNITY REHABILITATION PROGRAM LLC
Other name(s)
All associated names:
Doing Business As (dba)
ECRP
Doing Business As (dba)
Excellence Community Residential Properties
Primary location
37025 LA CONTEMPO AVE
PALMDALE, CA 93550-7351
Phone: (424) 789-0439 Fax:
Mailing address
1607 E PALMDALE BLVD STE G
PALMDALE, CA 93550-7801
Phone: (424) 789-0439 Fax:
Organization Subpart
No
Authorized Official
OCTAVIA ASKEW
PROGRAM DIRECTOR/ADMINISTRATOR
Phone: (424) 789-0439
Updated
Certification Date
Feb 22, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for EXCELLENCE COMMUNITY REHABILITATION PROGRAM LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherADULT RESIDENTIAL FACILITY LICENSECA197610283
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
CONNECT URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1607 E PALMDALE BLVD STE G,
PALMDALE, CA 77025-1669