EXECUTIVE CARE
NPI 1770145872
Licensed Practical Nurse in Detroit, MI

NPI Status: Active since June 28, 2019

Contact Information

8951 RUTHERFORD ST
DETROIT, MI
ZIP 48228
Phone: (800) 575-5290

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  • Organization
  • Licensed Practical Nurse

About EXECUTIVE CARE

This page provides the complete NPI Profile along with additional information for Executive Care, a provider established in Detroit, Michigan operating as a Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1770145872 assigned on June 2019. The practitioner's primary taxonomy code is 164W00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Tiscur Gwendolyn Taylor Lpn (Nurse)

NPI
1770145872
Provider Name
EXECUTIVE CARE
Entity Type
Organization
Location Address
8951 RUTHERFORD ST DETROIT, MI 48228
Location Phone
(800) 575-5290
Mailing Address
8951 RUTHERFORD ST DETROIT, MI 48228
Mailing Phone
(800) 575-5290
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2019
Last Update Date
06-28-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TISCUR GWENDOLYN TAYLOR LPN

Authorized Official Title
NURSE
Authorized Official Phone
(800) 575-5270

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770145872
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271402410814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 2 + 4 + 1 + 0 + 8 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1770145872 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770145872, enumerated in the NPI registry as an "organization" on June 28, 2019

The provider is located at 8951 Rutherford St Detroit, Mi 48228 and the phone number is (800) 575-5290

This medical organization specializes in Licensed Practical Nurse with taxonomy code 164W00000X

This NPI record was last updated on June 28, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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