Extended Family LLC
Organization Active NPI Home Health Agency · Portsmouth, NH
NPI 1356861314 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1356861314
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- EXTENDED FAMILY LLC
- Practice address
- 1000 Market St Unit 1
Portsmouth, NH 03801-3358 - Phone
- (603) 430-6863
- NPI assigned
- Jun 21, 2017
- Organization subpart
- No
Authorized official
- Name
- Ms. Mary Ellen Boucher, LICSW
- Title
- Coo
- Phone
- (603) 430-6863
National Provider Directory
Locations
1000 Market St
Unit 104
Portsmouth, NH 03801
Phone (603) 430-6863
1000 Market St
Unit 1
Portsmouth, NH 03801
Phone (603) 430-6863
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
1000 Market St Unit 1
Portsmouth, NH 03801-3358
Mailing address
1000 Market St.
Building 1 Suite 104
Portsmouth, NH 03801-3358
Phone (603) 430-6863
Other names
- Extended Family Counseling Services
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.