Extended Home Care TN, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EXTENDED HOME CARE TN, LLC

Doing business as

Advantage Home Care

Practice address

7424 Hwy 64 Ste 118
Bartlett, TN 38133-8937

Phone

(901) 881-0645

Fax

(901) 881-0647

NPI assigned

Jan 13, 2012

Last updated

Feb 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra M. Clark

Title

Managing Director/ VP of the Board

Phone

(901) 881-0645

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advantage Home Care Doing business as

Locations

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1376814806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 HWY 64 STE 118",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381338937",
            "telephone_number": "901-881-0645",
            "fax_number": "901-881-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 HWY 64 STE 118",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381338937",
            "telephone_number": "901-881-0645",
            "fax_number": "901-881-0647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1355 Flowering Dogwood Ln",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380242893",
            "country_code": "US",
            "telephone_number": "901-881-0645",
            "fax_number": "901-881-0647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "231 N Parkway Ste A",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383052739",
            "country_code": "US",
            "telephone_number": "888-311-3055",
            "fax_number": "901-881-0647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Dover Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370424155",
            "country_code": "US",
            "telephone_number": "888-311-3055",
            "fax_number": "901-881-0647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXTENDED HOME CARE TN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGING DIRECTOR/ VP OF THE BOARD",
        "authorized_official_telephone_number": "901-881-0645"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445629",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Laudelina Eshun
• Charity R Eskew, RN, FNP-C
• Barbara P Evangelisti, NP-C
• Excel Centers of America, LLC
• Extended Health Care LLC (Advantage Home Care)
• Olufemi Folabi Fadahunsi, D.D.S.
• Christian S Fahey, MD
• Nicholas Fair
• Adeola Olubukola Faleye, DMD
• Olugbenga Faleye, MD

• In Home Supportive Care Agency in Bartlett, TN
• Providers in Bartlett, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.