OrganizationActive
Excelsior Services Group LLC
NPI 1003413311 · Nursing Care Agency · Wood Ridge, NJ
Provider details
- NPI number
- 1003413311
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Monica Elkeshk, Executive Director(917) 463-6166
Specialties & taxonomies
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Practice location
415 Main Ave
Wood Ridge, NJ 07075-2055
Phone: (917) 463-6166
Approximate (ZIP-level) locationGet directions
Mailing address
415 Main Ave
Wood Ridge, NJ 07075-2055
Registry dates
- Enumerated
- 2020-10-08
- Last updated
- 2026-05-01
- Certified
- 2026-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.