Executive Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0164600 Issued in NJ

Legal business name

EXECUTIVE HOME CARE, LLC

Doing business as

Excutive Care

Practice address

270 State St
Hackensack, NJ 07601-5501

Phone

(201) 489-4899

Fax

(201) 489-5899

NPI assigned

Mar 26, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Leonard Verkhoglaz

Title

Ceo

Phone

(201) 489-4899

Specialties & licenses 1

Addresses

Other names 1

• Excutive Care Doing business as

Locations

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1942542147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 STATE ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015501",
            "telephone_number": "201-489-4899",
            "fax_number": "201-489-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 STATE ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015501",
            "telephone_number": "201-489-4899",
            "fax_number": "201-489-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "VERKHOGLAZ",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-489-4899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0164600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excutive Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.