EXECUTIVE HEALTHCARE SERVICES PLLC – NPI #1760664007
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

EXECUTIVE HEALTHCARE SERVICES PLLC is a provider located in RESTON, VA. NPPES has assigned the NPI number 1760664007 to EXECUTIVE HEALTHCARE SERVICES PLLC on November 28, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Aug 25, 2022. 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 HEALTHCARE SERVICES PLLC below.

NPI Profile for
EXECUTIVE HEALTHCARE SERVICES PLLC

NPI Number
1760664007
Enumeration Date

(more than 18 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
EXECUTIVE HEALTHCARE SERVICES PLLC
Primary location
12040 S LAKES DR
SUITE 195
RESTON, VA 20191
Phone: (703) 230-0347 Fax: (703) 230-0350
1 Other location(s):
7811 Montrose Rd # 530
Potomac, MD 20854-3363
Phone: (240) 599-5400
Mailing address
12040 S LAKES DR STE 204
RESTON, VA 20191-1236
Phone: (703) 230-0347 Fax: (703) 230-0350
Organization Subpart
No
Authorized Official
CHERYL ECCLESTON
ADMINISTRATOR
Phone: (703) 230-0347
Updated
Certification Date
Aug 25, 2022

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
207Q00000X
- Family Medicine (Primary)		 VA 0101050406

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.