EXECUTIVE CARE – NPI #1649996760
In Home Supportive Care

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

EXECUTIVE CARE is an in-home supportive care agency located in WEST PALM BEACH, FL. NPPES has assigned the NPI number 1649996760 to EXECUTIVE CARE on October 19, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EXECUTIVE CARE” is a dba name, the actual legal business name for this organization is RANDMAVV 101, LLC. The primary taxonomy selected by this provider is 253Z00000X from the Health Care Provider Taxonomy code set, which is classified as In Home Supportive Care.

The NPI profile was previously updated about 3 years ago on Jul 28, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXECUTIVE CARE below.

NPI Profile for
RANDMAVV 101, LLC

NPI Number
1649996760
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RANDMAVV 101, LLC
Doing Business As (dba): EXECUTIVE CARE
Primary location
4601 N. CONGRESS AVE
SUITE 103
WEST PALM BEACH, FL 33407
Phone: (561) 429-8067 Fax: (561) 888-6989
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARGARET NELSON
ADMINISTRATOR
Phone: (561) 429-8067
Updated
Certification Date
Jul 28, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
253Z00000X
- In Home Supportive Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.