Extended Comfort Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EXTENDED COMFORT CARE LLC

Practice address

6535 Jesse Jackson Ave
Saint Louis, MO 63121-5706

Phone

(314) 224-1293

NPI assigned

Aug 24, 2021

Organization subpart

No

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

Authorized official

Name

Sheontay DavisNPI 1053088641

Title

Owner

Phone

(314) 224-1293

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.

• Sheontay Davis

  • Home Health Agency
  • Saint Louis, MO
  • NPI 1053088641

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1104593672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 JESSE JACKSON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631215706",
            "telephone_number": "314-224-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 JESSE JACKSON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631215706",
            "telephone_number": "314-224-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED COMFORT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHEONTAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-224-1293"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Saint Louis, MO
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.