NPIMap

Organization Active NPI

Extended Family Care LLC

  • Community Health Worker
  • Violet, LA
National Provider Identifier
1164770566
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
EXTENDED FAMILY CARE LLC
Practice address
3309 Ashley Dr
3309 Ashley
Violet, LA 70092-2837
Phone
(504) 231-1060
NPI assigned
Aug 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Ms. Ada Maire Johnson
Title
Owner/Operator
Phone
(504) 231-1060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X LA Primary

Addresses

Primary practice location

3309 Ashley Dr
3309 Ashley
Violet, LA 70092-2837

Mailing address

PO Box 353
3309 Ashley Dr
Violet, LA 70092-0353
Phone (504) 231-1060

Other names 1

  • Extended Family Care LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1164770566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "address_2": "3309 ASHLEY DR",
            "city": "VIOLET",
            "state": "LA",
            "postal_code": "700920353",
            "telephone_number": "504-231-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 ASHLEY DR",
            "address_2": "3309 ASHLEY",
            "city": "VIOLET",
            "state": "LA",
            "postal_code": "700922837",
            "telephone_number": "504-231-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "MAIRE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "504-231-1060",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extended Family Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Violet, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.