Organization Active NPI

Extra Home Health Care, Inc.

  • Home Health Agency
  • Enfield, NC
National Provider Identifier
1083656797
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2483 Issued in NC
Legal business name
EXTRA HOME HEALTH CARE, INC.
Practice address
5066 Beaverdam Rd
Enfield, NC 27823-8700
Phone
(252) 445-1900
Fax
(252) 445-1901
NPI assigned
Jun 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sandra Rowland
Title
Agency Director
Phone
(252) 445-1900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2483 NC Primary
Home Health Agency 251E00000X HC2957 NC

Addresses

Primary practice location

5066 Beaverdam Rd
Enfield, NC 27823-8700

Mailing address

5066 Beaverdam Rd
PO Box 877
Enfield, NC 27823-8700
Phone (252) 445-1900

Other identifiers 1

IdentifierTypeStateIssuer
6601049MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Extra Home Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083656797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5066 BEAVERDAM RD",
            "address_2": "PO BOX 877",
            "city": "ENFIELD",
            "state": "NC",
            "postal_code": "278238700",
            "telephone_number": "252-445-1900",
            "fax_number": "252-445-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5066 BEAVERDAM RD",
            "city": "ENFIELD",
            "state": "NC",
            "postal_code": "278238700",
            "telephone_number": "252-445-1900",
            "fax_number": "252-445-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROWLAND",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "252-445-1900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2483",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2957",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601049",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.