Organization Active NPI

X-Tra Mile Residential Care LLC

  • Home Health Agency
  • Toledo, OH
National Provider Identifier
1508548298
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
X-TRA MILE RESIDENTIAL CARE LLC
Practice address
5610 Brook Point Rd
Toledo, OH 43611-1406
Phone
(567) 868-3670
NPI assigned
Aug 2, 2023
Organization subpart
Yes
Parent organization
X-TRA MLE RESIDENTIAL CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Janelle WashingtonNPI 1467187823
Title
Ceo
Phone
(567) 868-3670

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5610 Brook Point Rd
Toledo, OH 43611-1406

Mailing address

5610 Brook Point Rd
Toledo, OH 43611-1406
Phone (567) 868-3670

National Provider Directory

National Provider Directory
Part of
X-Tra Mile Residential Care LLC

Practitioners & affiliated clinicians

Practitioners 1

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": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1508548298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 BROOK POINT RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436111406",
            "telephone_number": "567-868-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 BROOK POINT RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436111406",
            "telephone_number": "567-868-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "X-TRA MILE RESIDENTIAL CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "X-TRA MLE RESIDENTIAL CARE LLC",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "567-868-3670"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.