EXECUTIVE DE-TAILS
NPI 1629134440
Contractor in Grand Prairie, TX

Active since December 28, 2006
2952 CELIAN DR, GRAND PRAIRIE, TX 75052(817) 247-5267 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 De-tails NPPES

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

EXECUTIVE DE-TAILS (NPI 1629134440) is a healthcare organization registered as a contractor in Grand Prairie, Texas and active in the NPI registry since December 2006. The organization lists Mark Aidelojie, Consultant, as its authorized official.

NPPES Registry Identity

NPI1629134440
Entity TypeOrganization
Primary Taxonomy171W00000X
Legal Business NameEXECUTIVE DE-TAILS
Location Address2952 CELIAN DRGrand Prairie, TX 75052-8737
Mailing Address2952 Celian DrGrand Prairie, TX 75052-8737
Organization SubpartNo
Authorized OfficialMark AidelojieConsultant · (817) 274-2284
Enumeration DateDecember 28, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1629134440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
2952 CELIAN DR, Grand Prairie, TX 75052

Other Names 1

Doing Business AsExecutive De-tails

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nursing Care
2952 CELIAN DR
GRAND PRAIRIE, TX 75052

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 De-Tails's NPI number?

The NPI number for Executive De-Tails is 1629134440. It was assigned to this organization in the NPPES registry on December 28, 2006.

Where is Executive De-Tails located?

Executive De-Tails is located at 2952 Celian Dr, Grand Prairie, TX 75052. The listed phone number is (817) 247-5267.

What is Executive De-Tails's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Executive De-Tails 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.