Organization Active NPI

Extended Hearts & Hands Home Care

  • Adult Care Home Facility
  • Farmington Hills, MI
National Provider Identifier
1215536941
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
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

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Marquise C McQueenNPI 1952900631
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9390788MedicaidMI

Other names 1

  • EXTENDED HEARTS AND HANDS HOMECARE Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address extendedhearts.hands@extendedhh.com Direct

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.