Extended Family Home Health Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EXTENDED FAMILY HOME HEALTH CARE LLC

Practice address

5629 Liberty Creek Dr E
Indianapolis, IN 46254-1003

Phone

(317) 969-0364

NPI assigned

Jun 27, 2025

Organization subpart

No

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

Authorized official

Name

Patrice DonaldsonNPI 1881432284

Title

Owner

Phone

(317) 492-3009

Specialties & licenses 1

Addresses

Other names 1

• Assertive Home Care LLC Doing business as

Practitioners 1

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

• Patrice D Donaldson, QMA

  • Personal Care Attendant
  • Indianapolis, IN
  • NPI 1881432284
  NPD Authorized official

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1265320139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5629 LIBERTY CREEK DR E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462541003",
            "telephone_number": "317-969-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5629 LIBERTY CREEK DR E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462541003",
            "telephone_number": "317-969-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED FAMILY HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-492-3009"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assertive Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.