Active NPI
Extended Quality Care LLC
- Home Health Agency
- Saint Louis, MO
National Provider Identifier
1376153387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- EXTENDED QUALITY CARE LLC
- Practice address
- 322 Plaza Ave
Saint Louis, MO 63135-2547 - Phone
- (314) 546-9417
- NPI assigned
- Aug 4, 2020
- Last updated
- Aug 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shaneal Johnson
- Title
- Executive Director
- Phone
- (314) 546-9417
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
322 Plaza Ave
Saint Louis, MO 63135-2547
Mailing address
322 Plaza Ave
Saint Louis, MO 63135-2547
Phone (314) 546-9417
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596499200000",
"number": "1376153387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 PLAZA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631352547",
"telephone_number": "314-546-9417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 PLAZA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631352547",
"telephone_number": "314-546-9417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXTENDED QUALITY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-04",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "SHANEAL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "314-546-9417",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Expressions of Love Home Healthcare Service, LLC
- Exquisite Home Health Care Services LLC
- Exquisite Homecare LLC
- Extended Comfort Care LLC
- Extended Hearts Homecare LLC
- Extracare CDS Services,Inc
- Extracare Home Health Agency, Inc
- Extracare Home Health Agency, Inc.
- Dorian Exum, MSW,LCSW,LMSW,LMT
- Mostafa Eyada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.