Active NPI
Extended Hearts & Hands Home Care
- Adult Care Home Facility
- Farmington Hills, MI
National Provider Identifier
1215536941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- EXTENDED HEARTS & HANDS HOME CARE
- Practice address
- 30800 Northwestern Hwy Ste 230
Farmington Hills, MI 48334-2550 - Phone
- (124) 857-1902
- Fax
- (248) 829-7232
- NPI assigned
- Oct 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marquise C McQueen
- Title
- Owner
- Phone
- (313) 727-4719
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Care Home Facility | 311ZA0620X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
30800 Northwestern Hwy Ste 230
Farmington Hills, MI 48334-2550
Mailing address
30800 Northwestern Hwy Ste 230
Farmington Hills, MI 48334-2550
Phone (124) 857-1902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9390788 | Medicaid | MI |
Other names 1
- EXTENDED HEARTS AND HANDS HOMECARE
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | extendedhearts.hands@extendedhh.com | Direct |
National Provider Directory
National Provider DirectoryLocations
30800 Northwestern Hwy
Ste 230
Farmington Hills, MI 48334
Phone (248) 571-9025
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632700800000",
"number": "1215536941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30800 NORTHWESTERN HWY STE 230",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342550",
"telephone_number": "124-857-1902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30800 NORTHWESTERN HWY STE 230",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342550",
"telephone_number": "124-857-1902",
"fax_number": "248-829-7232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXTENDED HEARTS & HANDS HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-23",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A",
"authorized_official_last_name": "MCQUEEN",
"authorized_official_first_name": "MARQUISE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-727-4719"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9390788",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "extendedhearts.hands@extendedhh.com",
"affiliation": "N",
"endpointDescription": "web domain",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Domain",
"address_1": "30800 Northwestern Hwy Ste 230",
"city": "Farmington Hills",
"state": "MI",
"country_code": "US",
"postal_code": "483342550",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "EXTENDED HEARTS AND HANDS HOMECARE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "EXTENDED HEARTS AND HANDS HOMECARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.