Organization Active NPI

Executive Care LLC

Doing business as Execare

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1164181202
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXECUTIVE CARE LLC
Doing business as
Execare
Practice address
11010 N Kendall Dr Ste 100
Miami, FL 33176-1205
Phone
(305) 274-6471
NPI assigned
Dec 16, 2021
Last updated
Dec 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Mr. Armando Morales
Title
Ceo
Phone
(305) 274-6471

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Primary Care Clinic/Center 261QP2300X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

11010 N Kendall Dr Ste 100
Miami, FL 33176-1205

Mailing address

11010 N Kendall Dr Ste 100
Miami, FL 33176-1205
Phone (305) 274-6471

Other names 1

  • Execare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211221001103 FL Part B Supplier - Mass Immunization (Roster Biller Only) 1456742741 Practice locations: Miami, FL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1164181202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11010 N KENDALL DR STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761205",
            "telephone_number": "305-274-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11010 N KENDALL DR STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761205",
            "telephone_number": "305-274-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-274-6471",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Execare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.