Extracare Homecare Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EXTRACARE HOMECARE SERVICES

Practice address

670 Church LN
2ND Floor Front
Yeadon, PA 19050-3301

Phone

(267) 455-9577

Fax

(484) 540-7913

NPI assigned

Oct 8, 2019

Last updated

Oct 8, 2019By 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

Osinakachi EgbukwuNPI 1972811354

Title

Administrator

Phone

(267) 455-9577

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Osinakachi Ejike Egbukwu, PHARMD

  • Pharmacist
  • Chester, PA
  • NPI 1972811354
  NPD Authorized official

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1427699743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 CHURCH LN",
            "address_2": "2ND FLOOR FRONT",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503301",
            "telephone_number": "267-455-9577",
            "fax_number": "484-540-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 CHURCH LN",
            "address_2": "2ND FLOOR FRONT",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503301",
            "telephone_number": "267-455-9577",
            "fax_number": "484-540-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRACARE HOMECARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "EGBUKWU",
        "authorized_official_first_name": "OSINAKACHI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "267-455-9577"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER LICENSE NUMBER",
            "identifier": "42373601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Leonne Elcock, O.D.
• Fajr Khalifah Elhadi, MS
• Leeanne Elhadi, LBS
• Empower Healthcare
• Yolanda Erwin
• Extracare Pharmacy, Inc.
• Geethu Anna Eype
• Family Care Support Services LLC
• Percival Fisher Jr.
• Geriatric Health Services LLC

• Home Health Agency in Yeadon, PA
• Providers in Yeadon, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.