Organization Active NPI

Extreme Home Care Services, Inc.

  • Home Health Registered Nurse
  • Columbia, MD
National Provider Identifier
1366084865
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
EXTREME HOME CARE SERVICES, INC.
Practice address
11886 New Country LN
Columbia, MD 21044-4406
Phone
(667) 240-5881
NPI assigned
Oct 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Mrs. Adeola Temitope Sotubo
Title
Program Administrator
Phone
(667) 240-5581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

11886 New Country LN
Columbia, MD 21044-4406

Mailing address

11886 New Country LN
Columbia, MD 21044-4406
Phone (667) 240-5881

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@extremehomecaresvcs.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Extreme Home Care Services Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1366084865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11886 NEW COUNTRY LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444406",
            "telephone_number": "667-240-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11886 NEW COUNTRY LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444406",
            "telephone_number": "667-240-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTREME HOME CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "SOTUBO",
        "authorized_official_first_name": "ADEOLA",
        "authorized_official_middle_name": "TEMITOPE",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "667-240-5581",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@extremehomecaresvcs.com",
            "affiliation": "N",
            "endpointDescription": "Business Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11886 New Country Ln",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210444406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.