Extracare Home Health Agency, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EXTRACARE HOME HEALTH AGENCY, INC

Practice address

8420 Delmar Blvd
Ste. 405
Saint Louis, MO 63124-2170

Phone

(314) 432-2439

Fax

(314) 432-2745

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Cecilia M Harris

Title

Director

Phone

(314) 432-2439

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154540995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 DELMAR BLVD",
            "address_2": "STE. 405",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242170",
            "telephone_number": "314-432-2439",
            "fax_number": "314-432-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 DELMAR BLVD",
            "address_2": "STE. 405",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242170",
            "telephone_number": "314-432-2439",
            "fax_number": "314-432-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRACARE HOME HEALTH AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-432-2439",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "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 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.