Extended Family Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EXTENDED FAMILY HOME HEALTH CARE, LLC

Practice address

4200 Perimeter Center Dr
Suite 150
Oklahoma City, OK 73112-2324

Phone

(405) 606-4424

Fax

(405) 606-4463

NPI assigned

Feb 9, 2016

Organization subpart

No

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

Authorized official

Name

Patrick Lavine-Herndon

Title

Co-Owner

Phone

(405) 606-4424

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Hicks, LCSW

  • Clinical Social Worker
  • Yukon, OK
  • NPI 1003276726
  NPD (past)

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1083072763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 PERIMETER CENTER DR",
            "address_2": "SUITE 150",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122324",
            "telephone_number": "405-606-4424",
            "fax_number": "405-606-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 PERIMETER CENTER DR",
            "address_2": "SUITE 150",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122324",
            "telephone_number": "405-606-4424",
            "fax_number": "405-606-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED FAMILY HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "LAVINE-HERNDON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "405-606-4424"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "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 Feb 9, 2016; 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.