Extra Care Support Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EXTRA CARE SUPPORT SERVICES LLC

Practice address

1655 Fort Myer Dr
Arlington, VA 22209-3113

Phone

(667) 200-9215

NPI assigned

Feb 24, 2026

Organization subpart

No

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

Authorized official

Name

Damilola Ajepe

Title

Owner

Phone

(667) 200-9215

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1407700628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 FOUNTAIN PARK DR",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699485",
            "telephone_number": "667-200-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 FORT MYER DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222093113",
            "telephone_number": "667-200-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA CARE SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "AJEPE",
        "authorized_official_first_name": "DAMILOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "667-200-9215"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.