Extended Family Care LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EXTENDED FAMILY CARE LLC

Practice address

1001 McArthur St
Manchester, TN 37355-2419

Phone

(931) 295-0856

Fax

(931) 954-0856

NPI assigned

May 5, 2020

Last updated

May 15, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

EXTENDED FAMILY CARE, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Rose L Dodge

Title

Adminstrator/Owner

Phone

(319) 952-3499

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Legends, LLC Other name

Electronic endpoints 1

Tax ID family

Extended Family Care LLC2 organizations share this tax ID, including this one

Part of

Extended Family Care LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Extended Family Care LLC

  • Community/Behavioral Health Agency
  • Manchester, TN
  • NPI 1700172392
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Extended Family Care LLC

  • Community/Behavioral Health Agency
  • Manchester, TN
  • NPI 1700172392
  NPPES parent name

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1225659956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373490870",
            "telephone_number": "931-295-6252",
            "fax_number": "931-954-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MCARTHUR ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552419",
            "telephone_number": "931-295-0856",
            "fax_number": "931-954-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED FAMILY CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXTENDED FAMILY CARE, LLC",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINSTRATOR/OWNER",
        "authorized_official_telephone_number": "319-952-3499",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445690",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisagilmore@legends-tn.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1001 McArthur St",
            "city": "Manchester",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373552419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Legends, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Efc-MHC, LLC
• Kristen Lovelady Elam, FNP
• Elite Quality Care, Inc (McArthur Manor Assisted Living)
• Patricia Beth Elliott, NP-C
• Juan Pablo Estrada
• Extended Family Care LLC
• Nathan Eylander
• F&B Enterprises, LLC (Manchester Pain Center)
• Aleene Marie Falk
• Family Counseling Center of Middle Tennessee, Inc

• Community/Behavioral Health Agency in Manchester, TN
• Providers in Manchester, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.