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

Executive Healthcare Services

Organization Nursing Care Agency · NPI 1962899161

Executive Healthcare Services is a Nursing Care Agency in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015

Practice location Address checks out

10710 Old Bridge Ln
Charlotte, NC 28269-8159
Phone: (704) 780-3613
Fax: (704) 593-6695
Show map & directions

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

Specialties & licences

Nursing Care Agency (primary) Taxonomy 251J00000X · Licence HC4747 (NC)

Record details

NPI number1962899161
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Trishonda Shackleford — Owner/Administrator · (704) 780-3613
NPI enumeratedApril 25, 2015
Last updated in NPPESAugust 4, 2015
Mailing address10710 Old Bridge Ln, Charlotte, NC 28269-8159

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