Organization Active NPI

An Extended Hand Assisted Living

  • Home Health Agency
  • Akron, OH
National Provider Identifier
1184436149
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AN EXTENDED HAND ASSISTED LIVING
Practice address
942 N Main St Ste 27
Akron, OH 44310-1447
Phone
(234) 334-1034
NPI assigned
Jan 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Javonnie Jeter
Title
Chief Executive Officer
Phone
(206) 854-0277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

942 N Main St Ste 27
Akron, OH 44310-1447

Mailing address

942 N Main St Ste 27
Akron, OH 44310-1447
Phone (234) 334-1034

National Provider Directory

National Provider Directory

Locations

942 N Main St
Ste 27
Akron, OH 44310
Phone (234) 334-1034

NPI Registry JSON

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1184436149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 N MAIN ST STE 27",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443101447",
            "telephone_number": "234-334-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 N MAIN ST STE 27",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443101447",
            "telephone_number": "234-334-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN EXTENDED HAND ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "JAVONNIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "206-854-0277"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.