Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Executive Group Home

Organization Assisted Living Facility · NPI 1356559694

Executive Group Home is an Assisted Living Facility in Miami, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

10170 SW 146th Ave
Miami, FL 33186-6956
Phone: (305) 387-4971
Fax: (305) 225-1289
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL 9277 (FL)

Record details

NPI number1356559694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ariagna Rodriguez — Administrator · (305) 387-4971
NPI enumeratedMay 18, 2007
Last updated in NPPESAugust 22, 2020
Mailing address10170 Sw 146th Ave, Miami, FL 33186-6956

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