Organization Active NPI

Extracare Home Health Services, Inc

  • Home Health Agency
  • Covina, CA
National Provider Identifier
1306106893
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXTRACARE HOME HEALTH SERVICES, INC
Practice address
324 W Badillo St
Covina, CA 91723-1827
Phone
(626) 915-0833
NPI assigned
May 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Authorized official

Name
Durdana Khan
Title
President
Phone
(626) 915-0833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

324 W Badillo St
Covina, CA 91723-1827

Mailing address

324 W Badillo St
Covina, CA 91723-1827
Phone (626) 915-0833

National Provider Directory

National Provider Directory
Tax ID family
Extra Care Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

324 W Badillo St
Covina, CA 91723
Phone (626) 814-1111

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1306106893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231827",
            "telephone_number": "626-915-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231827",
            "telephone_number": "626-915-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRACARE HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "DURDANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-915-0833"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.