Organization Active NPI

Extended Enterprises, Inc

Doing business as Ehs Medical Equipment & Supply

  • Durable Medical Equipment & Medical Supplies
  • Hayti, MO
National Provider Identifier
1376662981
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
858892508MedicaidMO

Other names 1

  • EHS MEDICAL EQUIPMENT & SUPPLY Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.