Organization Active NPI

Extra Care Home Health

  • Home Health Agency
  • Covina, CA
National Provider Identifier
1396044178
Registry record updated Mar 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXTRA CARE HOME HEALTH
Practice address
315 N 3Rd Ave
Ste 300a
Covina, CA 91723-1905
Phone
(626) 915-8333
Fax
(626) 915-8350
NPI assigned
Mar 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2011

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

Authorized official

Name
Mrs. Durdana Sher Khan
Title
Ceo
Phone
(626) 915-8333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

315 N 3Rd Ave
Ste 300a
Covina, CA 91723-1905

Mailing address

315 N 3Rd Ave
Ste 300a
Covina, CA 91723-1905
Phone (626) 915-8333

National Provider Directory

National Provider Directory
Tax ID family
Extra Care Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

315 N 3rd Ave
Ste 300A
Covina, CA 91723
Phone (626) 915-8333

NPI Registry JSON

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

{
    "created_epoch": "1300579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300579200000",
    "number": "1396044178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE",
            "address_2": "STE 300A",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231905",
            "telephone_number": "626-915-8333",
            "fax_number": "626-915-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE",
            "address_2": "STE 300A",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231905",
            "telephone_number": "626-915-8333",
            "fax_number": "626-915-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA CARE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-20",
        "last_updated": "2011-03-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "DURDANA",
        "authorized_official_middle_name": "SHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-915-8333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2011; 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.