Executive Care

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

EXECUTIVE CARE

Practice address

8951 Rutherford St
Detroit, MI 48228-2131

Phone

(800) 575-5290

NPI assigned

Jun 28, 2019

Organization subpart

No

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

Authorized official

Name

Tiscur Gwendolyn Taylor, LPN

Title

Nurse

Phone

(800) 575-5270

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1770145872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 RUTHERFORD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482282131",
            "telephone_number": "800-575-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 RUTHERFORD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482282131",
            "telephone_number": "800-575-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TISCUR",
        "authorized_official_middle_name": "GWENDOLYN",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "800-575-5270",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Exceptional Deliverence Ministries
• Exclusive Physicians PLLC
• Exclusive Physicians PLLC
• Execu-Tech Manor
• Executive Business
• Exhalation Integrative Wellness
• Expectant Transition Ministry Church
• Expert Enterprises
• Express Care Pharmacy 2
• Express Discount Pharmacy LLC

• Licensed Practical Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.