Organization Active NPI

Extensive Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, DE
National Provider Identifier
1407402787
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EXTENSIVE HEALTH SERVICES LLC
Practice address
280 E Main St Ste 112
Newark, DE 19711-7324
Phone
(302) 696-5511
Fax
(302) 286-7382
NPI assigned
Aug 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

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

Authorized official

Name
Kareemah Hammond, APRNNPI 1588192421
Title
Provider
Phone
(302) 294-6250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

280 E Main St Ste 112
Newark, DE 19711-7324

Mailing address

280 E Main St Ste 112
Newark, DE 19711-7324
Phone (302) 294-6250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200319002011 DE Part B Supplier - Clinic/Group Practice 7315375672 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, DE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2248410Extensive Health Services, LLS280 E Main St Suite 112, Newark, DE 19711Certificate of waiverJan 12, 2028

National Provider Directory

National Provider Directory

Locations

280 E Main St
Ste 112
Newark, DE 19711
Phone (302) 294-6250

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760140800000",
    "number": "1407402787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 E MAIN ST STE 112",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117324",
            "telephone_number": "302-294-6250",
            "fax_number": "302-294-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 E MAIN ST STE 112",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117324",
            "telephone_number": "302-696-5511",
            "fax_number": "302-286-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENSIVE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "KAREEMAH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "302-294-6250",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.