Provider Demographics
NPI:1679351357
Name:EXCEPTIONAL CARE LLC
Entity type:Organization
Organization Name:EXCEPTIONAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:VERMONT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-410-0365
Mailing Address - Street 1:15750 WINCHESTER BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95030-3327
Mailing Address - Country:US
Mailing Address - Phone:650-582-3020
Mailing Address - Fax:650-729-0910
Practice Address - Street 1:15750 WINCHESTER BLVD STE 208
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95030-3327
Practice Address - Country:US
Practice Address - Phone:650-582-3020
Practice Address - Fax:650-729-0910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care