# EXECUTIVE HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063115459
- **Authorized official:** EMMAH W MUITA CEO (OWNER)
- **Authorized official phone:** (317) 798-7728

## Contact information

- **Practice address:** 2569 BELMONT DR APT 30K, GREENWOOD, IN 46143-5212
- **Practice address phone:** (317) 798-7728
- **Mailing address:** 2569 BELMONT DR APT 30K, GREENWOOD, IN 46143-5212
- **Mailing address phone:** (317) 798-7728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 03/24/2023
- **Last updated:** 03/24/2023