Extended Holding Company, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2659L001 Issued in NY

Legal business name

EXTENDED HOLDING COMPANY, LLC

Doing business as

Extended at Home Care

Practice address

370 7TH Ave Ste 422
New York, NY 10001-0022

Phone

(212) 356-4200

NPI assigned

Dec 18, 2017

Organization subpart

No

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

Authorized official

Name

Matthew Achilarre

Title

Administrator

Phone

(212) 356-4200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Extended at Home Care Doing business as

Locations

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1497261127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 7TH AVE STE 422",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100010022",
            "telephone_number": "212-356-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 7TH AVE STE 422",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100010022",
            "telephone_number": "212-356-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED HOLDING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "ACHILARRE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "212-356-4200"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "2659L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04828593",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extended at Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in New York, NY
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• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.