Extended Hearts Homecare LLC

Primary specialty

Chore ProviderTaxonomy code 372500000X

Legal business name

EXTENDED HEARTS HOMECARE LLC

Practice address

4056 Finney Ave
Saint Louis, MO 63113-3426

Phone

(314) 728-0474

NPI assigned

May 2, 2023

Organization subpart

No

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

Authorized official

Name

Sherelle Wiggins

Title

Manager

Phone

(314) 339-9358

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antiniece Nicole McPhearson

  • Nurse's Aide
  • Kalamazoo, MI
  • NPI 1184339533
  NPD

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1245929793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4056 FINNEY AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631133426",
            "telephone_number": "314-728-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4056 FINNEY AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631133426",
            "telephone_number": "314-728-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED HEARTS HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "SHERELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-339-9358"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Saint Louis, MO
• Chore Provider in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.