Executive Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

933616 Issued in AK

Legal business name

EXECUTIVE CARE LLC

Practice address

1113 W 32ND Ave # Ave
Anchorage, AK 99503-3728

Phone

(907) 272-7244

Fax

(907) 272-7244

NPI assigned

Jan 21, 2011

Organization subpart

No

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

Authorized official

Name

Gulnora KiyamovaNPI 1952534208

Title

General Manager

Phone

(907) 272-7244

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gulnora Kiyamova II

  • Home Health Aide
  • Anchorage, AK
  • NPI 1952534208
  NPD (past) Authorized official

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295740800000",
    "number": "1669777637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 W 32ND AVE # AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033728",
            "telephone_number": "907-272-7244",
            "fax_number": "907-272-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 W 32ND AVE # AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033728",
            "telephone_number": "907-272-7244",
            "fax_number": "907-272-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-23",
        "status": "A",
        "authorized_official_last_name": "KIYAMOVA",
        "authorized_official_first_name": "GULNORA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "907-272-7244"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AK",
            "license": "933616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Anchorage, AK by specialty
• In Home Supportive Care Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2011; 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.