Extensions of Life, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC2394 Issued in NC

Legal business name

EXTENSIONS OF LIFE, INC.

Practice address

725 Professional Dr
New Bern, NC 28560-4547

Phone

(252) 514-2727

Fax

(252) 514-2770

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Shiela Thompson-Robinson

Title

Administrator

Phone

(252) 514-2727

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1285812347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 PROFESSIONAL DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604547",
            "telephone_number": "252-514-2727",
            "fax_number": "252-514-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 PROFESSIONAL DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604547",
            "telephone_number": "252-514-2727",
            "fax_number": "252-514-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENSIONS OF LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "THOMPSON-ROBINSON",
        "authorized_official_first_name": "SHIELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-514-2727",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409572",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600976",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Daniel Evans, MPT
• Elisabeth Evans
• Kizeasra Evans
• Catherine J. Everett, MD
• Roy N Everett, MD
• Extensions of Living
• Eyecarecenter OD PA
• Stanton W Ezzell, NP
• Jan Matthew Fabian, BCBA
• Jessica Faiella

• Home Health Agency in New Bern, NC
• Providers in New Bern, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.