Extended Family Care Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EXTENDED FAMILY CARE SERVICES

Practice address

431 Dogwood South LN
Haughton, LA 71037-8552

Phone

(318) 268-6641

Fax

(318) 390-2258

NPI assigned

Sep 1, 2021

Last updated

Sep 1, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hartesia Lawhorn-Kemp, REGISTERED NURSE

Title

Ceo

Phone

(318) 268-6641

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1003584319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 DOGWOOD SOUTH LN",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710378552",
            "telephone_number": "318-268-6641",
            "fax_number": "318-390-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 DOGWOOD SOUTH LN",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710378552",
            "telephone_number": "318-268-6641",
            "fax_number": "318-390-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED FAMILY CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "LAWHORN-KEMP",
        "authorized_official_first_name": "HARTESIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-268-6641",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.