EXECUTIVE CARE LTD (NPI# 1427087642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427087642 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE CARE LTD |
| Practice Address |
51 N 3rd St Suite 610 Newark OH 43055-5592 |
| Practice Telephone | 7403498454 |
| Practice Fax Number | 7403490533 |
| Mailing Telephone | 7403498454 |
| Mailing Fax Number | 7403490533 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2010-07-08 |
| Authorized Official Name | MS. PENNI A. MCCLAIN (CEO) |
| Authorized Official Telephone | 7403498454 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2496991 | 05 |
| Street Address |
51 N 3RD ST SUITE 610 |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-5592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528304771 | Kathy D Hollis | Licensed Practical Nurse | 51 N 3rd St, Newark, OH 43055-5592 | 2012-12-17 |
| 1598074395 | Nancy A Allen | Speech-Language Pathologist | 51 N 3rd St, Suite 202, Newark, OH 43055-5592 | 2010-09-28 |
| 1346471778 | Kimberly Roesnik | Speech-Language Pathologist | 51 N 3rd St, Ste 202, Newark, OH 43055-5592 | 2009-08-03 |
| 1467683052 | Patricia Price | Physical Therapist | 51 N 3rd St, Ste 202, Newark, OH 43055-5592 | 2009-07-31 |
| 1013160142 | Kristi Nestor | Specialist | 51 N 3rd St, Ste 202, Newark, OH 43055-5592 | 2008-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830854 | Del Premier Care Inc | Home Health | 630 Churchmans Rd Ste 107, Newark, DE 19702-1943 | 2020-04-21 |
| 1144867235 | Ocean Breeze Home Health Care Inc | Home Health | 504 Vassar Dr, Newark, DE 19711-3165 | 2019-12-08 |
| 1235776063 | Royal Homecare LLC | Home Health | 22 Elizabeth Ave Fl 2, Newark, NJ 07108-2828 | 2019-11-27 |
| 1053977991 | Alana Poff | Home Health | 88 Moull St Apt B, Newark, OH 43055-4691 | 2019-05-16 |
| 1154888758 | Geohealthcare Services Inc | Home Health | 5 Manor Dr Apt 6p, Newark, NJ 07106-3234 | 2019-03-01 |
| 1659841716 | Empathy Home Care, LLC | Home Health | 57 Anglin Dr, Newark, DE 19713-4012 | 2018-12-03 |
| 1083184147 | Dc Elite Cleaning LLC | Home Health | 46 Eastern Pkwy, Newark, NJ 07106-2307 | 2018-12-03 |
| 1649777004 | Open Hearts Care | Home Health | 135 E Elgin Ct, Newark, DE 19702-4004 | 2018-04-11 |
| 1700383809 | Big Sam's Services LLC | Home Health | 349 Hawthorne Avenue, Newark, NJ 07112 | 2018-04-06 |
| 1164922191 | Premier Home Health,llc | Home Health | 35 S Park Pl Ste 300, Newark, OH 43055-5538 | 2018-02-16 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.