Active NPI
Extended Enterprises, Inc
Doing business as Ehs Medical Equipment & Supply
- Durable Medical Equipment & Medical Supplies
- Hayti, MO
National Provider Identifier
1376662981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- EXTENDED ENTERPRISES, INC
- Doing business as
- Ehs Medical Equipment & Supply
- Practice address
- 110 N Highway J
Hayti, MO 63851 - Phone
- (573) 359-0403
- Fax
- (573) 359-2136
- NPI assigned
- Mar 28, 2007
- Last updated
- Jan 14, 2016
- 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
- Glenn D Haynes
- Title
- Owner
- Phone
- (573) 359-2930
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MO | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | MO | Primary |
Addresses
Primary practice location
110 N Highway J
Hayti, MO 63851
Mailing address
PO Box 393
Hayti, MO 63851-0393
Phone (573) 359-2930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 858892508 | Medicaid | MO |
Other names 1
- EHS MEDICAL EQUIPMENT & SUPPLY
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Hayti, MO
- NPI 1194849224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452729600000",
"number": "1376662981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 393",
"city": "HAYTI",
"state": "MO",
"postal_code": "638510393",
"telephone_number": "573-359-2930",
"fax_number": "573-359-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N HIGHWAY J",
"city": "HAYTI",
"state": "MO",
"postal_code": "63851",
"telephone_number": "573-359-0403",
"fax_number": "573-359-2136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXTENDED ENTERPRISES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2016-01-14",
"status": "A",
"authorized_official_last_name": "HAYNES",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-359-2930"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "858892508",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EHS MEDICAL EQUIPMENT & SUPPLY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hayti, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.