Extended Family Enterprises, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

AR4224 Issued in AR

Legal business name

EXTENDED FAMILY ENTERPRISES, INC

Practice address

2710 Phillips Dr
Jonesboro, AR 72401-7332

Phone

(870) 932-7463

Fax

(870) 932-0478

NPI assigned

Jul 28, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Jana K Wright, LPN

Title

Administrator

Phone

(870) 932-7463

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Trinity North Home Health, LLC

  • Home Health Agency
  • Jonesboro, AR
  • NPI 1467174052

  Sold to, 2022-09-01

  CMS change of ownership

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1508866930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 PHILLIPS DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017332",
            "telephone_number": "870-932-7463",
            "fax_number": "870-932-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 PHILLIPS DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017332",
            "telephone_number": "870-932-7463",
            "fax_number": "870-932-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED FAMILY ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-932-7463",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101827514",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "17323",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fonda A Evins, APRN
• Wendy K Evins, AUD
• Deandra J Ewing
• Travis D Ewing, DO
• Exodus Physical Therapy
• Eyemart Express LLC
• Eyemart Express LTD
• Jose Andres Fabre Quinones, MD
• Jamie F. Fain, CADC, LAC
• Kaylynn S Fain, CNP

• Home Health Agency in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Home Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.