NPIMap

Organization Active NPI

Extended Family Home Health Care, LLC

  • Home Health Agency
  • Oklahoma City, OK
National Provider Identifier
1083072763
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
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
Last updated
Feb 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Patrick Lavine-HerndonNPI 1083013742
Title
Co-Owner
Phone
(405) 606-4424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OK Primary

Addresses

Primary practice location

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

Mailing address

4200 Perimeter Center Dr
Suite 150
Oklahoma City, OK 73112-2324
Phone (405) 606-4424

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • 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.