Active NPI
Extra Hands Incorporated
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Cape Girardeau, MO
National Provider Identifier
1023134491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 3176 7622
- Legal business name
- EXTRA HANDS INCORPORATED
- Practice address
- 937 Broadway
Suite 103
Cape Girardeau, MO 63701-5474 - Phone
- (573) 334-5333
- Fax
- (573) 334-4031
- NPI assigned
- Mar 21, 2007
- Last updated
- Jun 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Yvonne Smith
- Title
- Owner President
- Phone
- (573) 334-5333
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 3176 7622 | MO | Primary |
| Homemaker | 376J00000X | DA8020 | MO |
Addresses
Primary practice location
937 Broadway
Suite 103
Cape Girardeau, MO 63701-5474
Mailing address
937 Broadway
Suite 103
Cape Girardeau, MO 63701-5474
Phone (573) 334-5333
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265249904 | Other | MO | DOA |
| 855249900 | Medicaid | MO | |
| 285249900 | Other | MO | DOA |
National Provider Directory
National Provider DirectoryLocations
937 Broadway St
Ste 103
Cpe Girardeau, MO 63701
Phone (573) 334-5333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213315200000",
"number": "1023134491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "937 BROADWAY",
"address_2": "SUITE 103",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637015474",
"telephone_number": "573-334-5333",
"fax_number": "573-334-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 BROADWAY",
"address_2": "SUITE 103",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637015474",
"telephone_number": "573-334-5333",
"fax_number": "573-334-4031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXTRA HANDS INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2008-06-13",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "YVONNE",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "573-334-5333"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MO",
"license": "3176 7622",
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": "MO",
"license": "DA8020",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOA",
"identifier": "265249904",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "855249900",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOA",
"identifier": "285249900",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.