EXECUTIVE HEALTHCARE SERVICES (NPI# 1962899161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962899161 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE HEALTHCARE SERVICES |
| Practice Address |
10710 Old Bridge Ln Charlotte NC 28269-8159 |
| Practice Telephone | 7047803613 |
| Practice Fax Number | 7045936695 |
| Mailing Telephone | 7047803613 |
| Mailing Fax Number | 7045936695 |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2015-08-04 |
| Authorized Official Name | TRISHONDA SHACKLEFORD (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 7047803613 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | HC4747 | NC | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Executive Healthcare Services P.C. | 12040 South Lakes Drive, Suite 170, Reston, Virginia 20191 |
| Street Address |
10710 OLD BRIDGE LN |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28269-8159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664438 | Alluring Occupational Therapy Services, Pllc | Occupational Therapy Assistant | 3020-i Prosperity Church Rd, Ste 523, Charlotte, NC 28269 | 2019-11-21 |
| 1366085094 | Crystal R Currie | Counselor | 8824 Cliff Cameron Drive, Uint 107, Charlotte, NC 28269 | 2019-10-25 |
| 1477102879 | Apryl N. Davis | Occupational Therapy Assistant | 3020-i Prosperity Church Rd., Charlotte, NC 28269 | 2019-09-09 |
| 1730744202 | Christopher Paige | Driver | 9805 Statesville Rd., Suite 6198, Charlotte, NC 28269 | 2019-05-09 |
| 1619532892 | Krb Support Services | Prevention Professional | 11634 Oak Street, Charlotte, NC 28269 | 2019-05-03 |
| 1184186769 | Kimberly M Lynch | Local Education Agency (LEA) | 11634 Oat Street, Charlotte, NC 28269 | 2019-04-03 |
| 1356802318 | Arleen M Blythe | Physical Therapy Assistant | 1521 Bucklebury Ct, Charlotte, NC 28269 | 2019-03-30 |
| 1174089064 | Quality Behavioral Health Services, Pllc | Social Worker | 9805 Statesville Rd, # 6095, Charlotte, NC 28269 | 2019-02-15 |
| 1326517855 | Mary Frances Pickens-wilson | Behavior Technician | 4628 Quinton Lane, Charlotte, NC 28269 | 2018-11-14 |
| 1548746605 | Tiffany Michelle Graham | Counselor | 9823 Cooper Run Ln, Charlotte, NC 28269 | 2018-07-12 |
| Find all providers in zip 28269 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629602099 | Compassion Nursing & Home Care | Nursing Care | 2015 Shorthorn St, Charlotte, NC 28213-5255 | 2020-02-25 |
| 1437794922 | Delacy C LLC | Nursing Care | 3623 Latrobe Dr Ste 215, Charlotte, NC 28211-4885 | 2019-11-08 |
| 1073155842 | M&k Bieman Enterprises, LLC | Nursing Care | 4822 Albemarle Rd Ste 280-a, Charlotte, NC 28205-6668 | 2019-10-14 |
| 1568940013 | Mm Home Care, LLC | Nursing Care | 1233 W Morehead St Ste A, Charlotte, NC 28208-5213 | 2018-08-06 |
| 1780117317 | Angels From Heaven Home Care LLC | Nursing Care | 4921 Albemarle Rd Suite 110, Charlotte, NC 28205 | 2017-04-10 |
| 1508301185 | Victory Home Health Care, LLC | Nursing Care | 8501 Tower Point Dr, Charlotte, NC 28227-7849 | 2017-01-05 |
| 1053866608 | Better Days Family Support, Inc. | Nursing Care | 212 N Mcdowell St, Ste. 112, Charlotte, NC 28204-2276 | 2016-08-23 |
| 1558710921 | Bethel Homecare Inc | Nursing Care | 5500 Executive Center Dr Ste 214, Charlotte, NC 28212-8864 | 2016-06-07 |
| 1942683446 | Your Health and Wellness Company, Inc. | Nursing Care | 2920 N Tryon St Ste 212, Charlotte, NC 28206-2761 | 2015-07-01 |
| 1508259490 | Mother Nurture | Nursing Care | 13134 David Jennings Ave, Charlotte, NC 28213-4312 | 2015-03-16 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.