Organization Active NPI

Executive Home Care LLC

  • Home Health Agency
  • Toledo, OH
National Provider Identifier
1679481857
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXECUTIVE HOME CARE LLC
Practice address
5890 Live Oak Dr
Toledo, OH 43613-5645
Phone
(419) 345-1931
NPI assigned
Aug 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Bryonne Dejesus Lupica
Title
Ceo
Phone
(419) 345-1931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5890 Live Oak Dr
Toledo, OH 43613-5645

Mailing address

5890 Live Oak Dr
Toledo, OH 43613-5645
Phone (419) 345-1931

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1679481857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 LIVE OAK DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436135645",
            "telephone_number": "419-345-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 LIVE OAK DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436135645",
            "telephone_number": "419-345-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-30",
        "status": "A",
        "authorized_official_last_name": "DEJESUS LUPICA",
        "authorized_official_first_name": "BRYONNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-345-1931"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.