Executive Care Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EXECUTIVE CARE ASSISTED LIVING

Practice address

4006 Belle Ave
Baltimore, MD 21215-4916

Phone

(443) 602-4968

NPI assigned

Dec 28, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charlene King

Title

Manager

Phone

(443) 602-4968

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1013786284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 BELLE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154916",
            "telephone_number": "443-602-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 BELLE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154916",
            "telephone_number": "443-602-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE CARE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "443-602-4968"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Excellent Healthcare & Psychiatric Rehabilitation Program Services Inc
• Excellent Healthcare & Psychiatric Rehabilitation Program Services Inc
• Excellent Heart Homecare LLC
• Excelsia Physicians Group LLC
• Exceptional Care Living, Inc
• Smirnov Denis Exilus
• Michael Exler, D.D.S.
• Emily Paige Exline
• Jane F Exner, FNP
• Exodus Behavioral Health LLC

• Assisted Living Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.