Extension Home Health Services LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

EXTENSION HOME HEALTH SERVICES LLC

Practice address

5101 Crestwater Dr
Mansfield, TX 76063-6842

Phone

(937) 522-1763

NPI assigned

Jul 1, 2014

Last updated

Jul 1, 2014By 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

Taneka M Walker, NURSE PRACTITIONERNPI 1851654271

Title

Owner

Phone

(937) 522-1763

Specialties & licenses 2

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.

• Taneka M Walker, NP

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1851654271
  NPD (past) Authorized official

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1477969277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1441",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 CRESTWATER DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636842",
            "telephone_number": "937-522-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENSION HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TANEKA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-522-1763",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "1851654271",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Extension Home Health Services LLC
• Eyes on Lone Star
• Daniel Ngozi Ezeukwu, PHD, FNP-BC, RN
• Lamarilyn Fadey
• Opeyemi Fadeyi, DDS
• Omolola Olamide Fagboyegun, APRN

• Respite Care in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Respite Care in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.