OrganizationActive
Executive Healthcare, LLC
NPI 1205173481 · Durable Medical Equipment & Medical Supplies · Dallas, TX
Provider details
- NPI number
- 1205173481
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Chandler Jackson, V.p(972) 432-6550
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6303 Forest Park Rd
Suite Bla 126
Dallas, TX 75235
Phone: (972) 432-6550
Fax: (214) 261-2217
Street-level locationGet directions
Mailing address
6303 Forest Park Rd
Dallas, TX 75235
Other names (DBA / former)
- Doing business as
- Allied Tri-Med
Registry dates
- Enumerated
- 2013-01-09
- Last updated
- 2013-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.