Maldo, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC4734 Issued in NC

Legal business name

MALDO, LLC

Doing business as

Executive Care

Practice address

10226 Couloak Dr
Suite 210
Charlotte, NC 28216-7675

Phone

(980) 237-2856

Fax

(980) 237-3970

NPI assigned

Nov 23, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Matt Edward Valego, MBA

Title

President/Co-Owner

Phone

(980) 237-2856

Specialties & licenses 1

Addresses

Other names 1

• Executive Care Doing business as

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1437523842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10226 COULOAK DR",
            "address_2": "SUITE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282167675",
            "telephone_number": "980-237-2856",
            "fax_number": "980-237-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10226 COULOAK DR",
            "address_2": "SUITE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282167675",
            "telephone_number": "980-237-2856",
            "fax_number": "980-237-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALDO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "VALEGO",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT/CO-OWNER",
        "authorized_official_telephone_number": "980-237-2856",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Executive Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darryl Evan Malak, MD
• Elizabeth Veach Malak
• Timothy Malaney, M.D.
• Christopher Joseph Malara
• Liza Maldari, PH.D.
• Ashleigh Michelle Maldonado
• Manuel F Maldonado, PA
• Lisa B Malec, OTR
• Colleen Mary Malecki, OTR/L
• Scott A Malesiewski, PT

• In Home Supportive Care Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.