Organization Active NPI

Extra Hands, Inc.

  • In Home Supportive Care Agency
  • Crystal Lake, IL
National Provider Identifier
1295032936
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
3000435 Issued in IL
Legal business name
EXTRA HANDS, INC.
Practice address
44 N Virginia St
Suite 1B
Crystal Lake, IL 60014-4106
Phone
(815) 477-1307
Fax
(815) 477-2561
NPI assigned
Feb 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Sheila Proctor
Title
President
Phone
(815) 477-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 3000435 IL Primary

Addresses

Primary practice location

44 N Virginia St
Suite 1B
Crystal Lake, IL 60014-4106

Mailing address

44 N Virginia St
Suite 1B
Crystal Lake, IL 60014-4106
Phone (815) 477-1307

Other names 1

  • Senior Helpers Doing business as

National Provider Directory

National Provider Directory

Locations

44 N Virginia St
Ste 1B
Crystal Lake, IL 60014
Phone (815) 477-1307

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1295032936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 N VIRGINIA ST",
            "address_2": "SUITE 1B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144106",
            "telephone_number": "815-477-1307",
            "fax_number": "815-477-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 N VIRGINIA ST",
            "address_2": "SUITE 1B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144106",
            "telephone_number": "815-477-1307",
            "fax_number": "815-477-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA HANDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-477-1307"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Helpers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.