Executive De-Tails
Executive De-Tails is a healthcare organization registered as Contractor in Grand Prairie, TX, holding Type 2 (organization) NPI 1629134440 since 2006. The authorized official on file is Mark Aidelojie, Consultant.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629134440 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Executive De-Tails |
| Other name | <Unavail> |
| Practice address | 2952 CELIAN DR, Grand Prairie, TX, 75052 |
| Phone | 8172475267 |
| Enumeration date | 2006-12-28 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Mark Aidelojie |
|---|---|
| Title | Consultant |
| Phone | 8172742284 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 171W00000X | Contractor | Primary | — | — |
Copy-ready billing details
Provider: Executive De-Tails NPI: 1629134440 Taxonomy: 171W00000X (Contractor) Address: 2952 CELIAN DR, Grand Prairie, TX, 75052
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1710119052 | D&D Residential Services Inc | Organization | Nursing Care Agency | Grand Prairie, TX |
Verify this record
Cross-check NPI 1629134440 against the authoritative CMS record: view Executive De-Tails on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Executive De-Tails located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.