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Contact Information

EXCELLENCE HOME PHYSICIANS
16910 W 10 MILE RD STE 105
SOUTHFIELD, MI48075
 Phone: 248-996-8446
 Fax: 248-996-8261
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Primary Care

363LP2300X 50 Nurse Practitioner
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for EXCELLENCE HOME PHYSICIANS

NPI # 1609391382
LBN Legal business name EXCELLENCE HOME PHYSICIANS
Authorized official GEOFFREY JIMENEZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/03/2017
Last updated 01/16/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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