EXECUTIVE CARE
NPI 1770145872
Licensed Practical Nurse in Detroit, MI

Active since June 28, 2019
8951 RUTHERFORD ST, DETROIT, MI 48228(800) 575-5290 Get Directions Write a Review

NPPES record last updated: June 28, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Executive Care NPPES

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

EXECUTIVE CARE (NPI 1770145872) is a healthcare organization registered as a licensed practical nurse in Detroit, Michigan and active in the NPI registry since June 2019. The organization lists Tiscur Gwendolyn Taylor, Nurse, as its authorized official.

NPPES Registry Identity

NPI1770145872
Entity TypeOrganization
Primary Taxonomy164W00000X
Legal Business NameEXECUTIVE CARE
Location Address8951 RUTHERFORD STDetroit, MI 48228-2131
Mailing Address8951 Rutherford StDetroit, MI 48228-2131 · (800) 575-5290
Organization SubpartNo
Authorized OfficialTiscur Gwendolyn TaylorNurse · (800) 575-5270
Enumeration DateJune 28, 2019
NPI 1770145872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
8951 RUTHERFORD ST, Detroit, MI 48228

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Care's NPI number?

The NPI number for Executive Care is 1770145872. It was assigned to this organization in the NPPES registry on June 28, 2019.

Where is Executive Care located?

Executive Care is located at 8951 Rutherford St, Detroit, MI 48228. The listed phone number is (800) 575-5290.

What is Executive Care's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Executive Care was last updated on June 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.