Executive Group Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL 9277 Issued in FL

Legal business name

EXECUTIVE GROUP HOME

Practice address

10170 SW 146TH Ave
Miami, FL 33186-6956

Phone

(305) 387-4971

Fax

(305) 225-1289

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Ariagna Rodriguez

Title

Administrator

Phone

(305) 387-4971

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356559694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10170 SW 146TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866956",
            "telephone_number": "305-387-4971",
            "fax_number": "305-225-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10170 SW 146TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866956",
            "telephone_number": "305-387-4971",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ARIAGNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-387-4971"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 9277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Exclusive Rehabilitation Inc
• Exclusive Services Inc
• Executive Adult Day Care Center Inc
• Executive Care Inc. (Execare)
• Executive Care LLC (Execare)
• Expanding Possibilities, Inc.
• Expedited Medical Supplies Corp
• Expedito's Alf, Inc.
• Expert Diagnostic Inc
• Expert Family Healthcare Provider's, Inc.

• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.