Sand Lily Healthcare, INC.

In Home Supportive Care in Edmond, OK. Organization (NPI-2).

NPI number1194234864

StatusActive

Last updated in NPPESMar 18, 2026

Details

NPI: 1194234864
Entity type: Organization (NPI-2)
Legal business name: Sand Lily Healthcare, INC.
Organization subpart: No
Enumeration date: Sep 26, 2017
Certification date: Mar 18, 2026
Last updated: Mar 18, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
253Z00000X	In Home Supportive Care	–	–	Yes
251C00000X	Day Training, Developmentally Disabled Services	–	–
251J00000X	Nursing Care	–	–
251B00000X	Case Management	–	–
385H00000X	Respite Care	–	–

Other names

Excell Private Care Services (Doing Business As)

Practice location

2120 S Broadway
Edmond, OK 73013-4021

Phone 405-639-3939 · Fax 405-639-2079

Mailing address

2120 S Broadway
Edmond, OK 73013-4021

Phone 405-639-3939 · Fax 405-639-2079

Other practice locations

501 S 5th St
Chickasha, OK 73018-3415

Phone 208-401-1400

5610 S Memorial Dr Ste A
Tulsa, OK 74145-9013

Phone 208-401-1400

510 E Cherokee St
Wagoner, OK 74467-4710

Phone 918-240-7078

Authorized official

Amber L Tueller
Secretary
2082072726

Is something wrong?

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