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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEALTHCO EXECUTIVE WELLNESS
NPI 1578403184
General Practice in Dallas, TX

Active since March 31, 2026CLIA 45D2346597 · Waiver
1401 W JEFFERSON BLVD, DALLAS, TX 75208(469) 708-7454 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 1, 2026, Apr 1, 2026 (2 updates tracked since 2026).

About Healthco Executive Wellness NPPES

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

HEALTHCO EXECUTIVE WELLNESS (NPI 1578403184) is a healthcare organization registered as a general practice in Dallas, Texas and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through July 1, 2028 and lists Nenna Nwazota, Md, as its authorized official.

NPPES Registry Identity

NPI1578403184
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameHEALTHCO EXECUTIVE WELLNESS
Location Address1401 W JEFFERSON BLVDDallas, TX 75208-5326
Mailing Address1401 W Jefferson BlvdDallas, TX 75208-5326
Phone(469) 708-7454
Organization SubpartYesParent: Caine Holdings Llc
Authorized OfficialNenna NwazotaMd · (469) 708-7454
Enumeration DateMarch 31, 2026
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1578403184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1401 W JEFFERSON BLVD, Dallas, TX 75208
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2346597

Healthco Executive Wellness Dba Encaremd · Dallas, TX
Active · expires Jul 1, 2028
CLIA Number45D2346597
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2026
Certificate Expiration DateJuly 1, 2028
Laboratory DirectorDr. Nenna Nwazota
Laboratory Phone(708) 707-4668
Laboratory LocationHealthco Executive Wellness Dba Encaremd1401 W Jefferson Blvd, Dallas, TX 75208
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRUCE E. WARDLE', D.O, P.A.
Family Medicine
1401 W JEFFERSON BLVD
DALLAS, TX 75208
Dallas County (214) 941-9200
DENA BRELSFORD PA
Physician Assistant
1401 W JEFFERSON BLVD
DALLAS, TX 75208
Dallas County (214) 941-9200
DALLAS VETERANS AFFAIRS MEDICAL CENTER
General Acute Care Hospital
1401 W JEFFERSON BLVD
DALLAS, TX 75208
Dallas County (214) 415-3804
BRUCE EDWARD WARDLAY D.O.
Family Medicine
1401 W JEFFERSON BLVD
DALLAS, TX 75208
Dallas County (214) 941-9200

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 Healthco Executive Wellness's NPI number?

The NPI number for Healthco Executive Wellness is 1578403184. It was assigned to this organization in the NPPES registry on March 31, 2026.

Where is Healthco Executive Wellness located?

Healthco Executive Wellness is located at 1401 W Jefferson Blvd, Dallas, TX 75208. The listed phone number is (469) 708-7454.

What is Healthco Executive Wellness's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Healthco Executive Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2346597) is associated with this NPI, valid through July 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Healthco Executive Wellness was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.