NPIMap

Organization Active NPI

Extended Hearts Home Care, LLC

  • In Home Supportive Care Agency
  • Raleigh, NC
National Provider Identifier
1386115608
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EXTENDED HEARTS HOME CARE, LLC
Practice address
1100 Logger CT # G-103C
Raleigh, NC 27609-8525
Phone
(919) 722-9069
NPI assigned
Dec 14, 2018
Organization subpart
Yes
Parent organization
EXTENDED HEARTS HOME CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Authorized official

Name
Ms. Shameeka Campbell, RN
Title
Owner
Phone
(919) 722-9069

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1100 Logger CT # G-103C
Raleigh, NC 27609-8525

Mailing address

1100 Logger CT # G-103C
Raleigh, NC 27609-8525
Phone (919) 722-9069

Other names 1

  • Campbell Care Solutions LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Extended Hearts Home Care LLC2 organizations share this tax ID, including this one
Part of
Extended Hearts Home Care LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1100 Logger Ct
#G103C
Raleigh, NC 27609
Phone (919) 722-9069

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1544745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544745600000",
    "number": "1386115608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LOGGER CT # G-103C",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098525",
            "telephone_number": "919-722-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LOGGER CT # G-103C",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098525",
            "telephone_number": "919-722-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED HEARTS HOME CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXTENDED HEARTS HOME CARE, LLC",
        "enumeration_date": "2018-12-14",
        "last_updated": "2018-12-14",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SHAMEEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-722-9069",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell Care Solutions LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; 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.