Organization Active NPI

Extra Hands Care Home Healthcare LLC

  • In Home Supportive Care Agency
  • Huber Heights, OH
National Provider Identifier
1194488825
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EXTRA HANDS CARE HOME HEALTHCARE LLC
Doing business as
Extra Hands Care Home healthcare LLC
Practice address
7211 Taylorsville Rd
Huber Heights, OH 45424-2376
Phone
(937) 219-3182
NPI assigned
Oct 19, 2021
Last updated
Feb 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Tyesha DavisNPI 1609539337
Title
Administrator
Phone
(937) 219-3182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7211 Taylorsville Rd
Huber Heights, OH 45424-2376

Mailing address

7211 Taylorsville Rd
Huber Heights, OH 45424-2376
Phone (937) 219-3182

Other names 1

  • Extra Hands Care Home healthcare LLC Doing business as

National Provider Directory

National Provider Directory

Locations

7211 Taylorsville Rd
Huber Heights, OH 45424
Phone (937) 219-3182

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1194488825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 TAYLORSVILLE RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454242376",
            "telephone_number": "937-219-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 TAYLORSVILLE RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454242376",
            "telephone_number": "937-219-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA HANDS CARE HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TYESHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-219-3182"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extra Hands Care Home healthcare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huber Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.