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EXECUTIVE GROUP HOME
NPI 1356559694
Assisted Living Facility in Miami, FL

Active since May 18, 2007
10170 SW 146TH AVE, MIAMI, FL 33186(305) 387-4971(305) 225-1289 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Executive Group Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXECUTIVE GROUP HOME (NPI 1356559694) is a healthcare organization registered as an assisted living facility in Miami, Florida and active in the NPI registry since May 2007. The organization lists Ariagna Rodriguez, Administrator, as its authorized official.

NPPES Registry Identity

NPI1356559694
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEXECUTIVE GROUP HOME
Location Address10170 SW 146TH AVEMiami, FL 33186-6956
Mailing Address10170 Sw 146th AveMiami, FL 33186-6956 · (305) 387-4971 · Fax (305) 225-1289
Phone(305) 387-4971
Fax(305) 225-1289
Organization SubpartNo
Authorized OfficialAriagna RodriguezAdministrator · (305) 387-4971
Enumeration DateMay 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1356559694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL 9277
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
10170 SW 146TH AVE, Miami, FL 33186
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Executive Group Home's NPI number?

The NPI number for Executive Group Home is 1356559694. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Executive Group Home located?

Executive Group Home is located at 10170 SW 146th Ave, Miami, FL 33186. The listed phone number is (305) 387-4971.

What is Executive Group Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Executive Group Home was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.