Extended Home Care Co.

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

EXTENDED HOME CARE CO.

Practice address

109 Collins Ave
Mandan, ND 58554-3104

Phone

(701) 751-3363

Fax

(701) 751-1163

NPI assigned

Oct 17, 2017

Organization subpart

No

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

Authorized official

Name

Melissa J Erhart

Title

Vice President

Phone

(701) 751-3363

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1306357322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 COLLINS AVE",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543104",
            "telephone_number": "701-751-3363",
            "fax_number": "701-751-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 COLLINS AVE",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543104",
            "telephone_number": "701-751-3363",
            "fax_number": "701-751-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED HOME CARE CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "ERHART",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "701-751-3363"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.