# EXECUTIVEHOMECARE LLC.

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

## Provider details

- **NPI number:** 1467181800
- **Authorized official:** FAITH J MASSAQUOI (OWNER)
- **Authorized official phone:** (614) 966-0322

## Contact information

- **Practice address:** 246 HIGHMEADOW DR, GAHANNA, OH 43230-1747
- **Practice address phone:** (614) 966-0322
- **Practice address fax:** (614) 961-3224
- **Mailing address:** 246 HIGHMEADOW DR, GAHANNA, OH 43230-1747
- **Mailing address phone:** (614) 966-0322
- **Mailing address fax:** (614) 961-3224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/09/2022
- **Last updated:** 06/06/2023