Executive Care LTD

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EXECUTIVE CARE LTD

Practice address

51 N 3Rd St
Suite 610
Newark, OH 43055-5592

Phone

(740) 349-8454

Fax

(740) 349-0533

NPI assigned

Jul 1, 2006

Last updated

Jul 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Penni A. McClain, R.N.

Title

Ceo

Phone

(740) 349-8454

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Elizabeth Bauman, CCC-SLP

  • Speech-Language Pathologist
  • Newark, OH
  • NPI 1386761104
  NPD (past)
• Amie J Solt, P.T.

  • Home Health Agency
  • Newark, OH
  • NPI 1760799860
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1427087642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N 3RD ST",
            "address_2": "SUITE 610",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555592",
            "telephone_number": "740-349-8454",
            "fax_number": "740-349-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N 3RD ST",
            "address_2": "SUITE 610",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555592",
            "telephone_number": "740-349-8454",
            "fax_number": "740-349-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "PENNI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-349-8454",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2496991",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mike Evans
• RR Evans, MD
• Victoria Leann Evans, MSW
• Jesse Michael Ewald, M.D.
• Excel Healthcare Management LLC (American Physiatry)
• Executive Rehab Services
• Executive Rehab Services LTD.
• Matthew Facemire, ED.S.
• Darlene Fader, RN
• Donald J Fairbanks, MD

• Home Health Agency in Newark, OH
• Providers in Newark, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.