My Extended Family Assisted Living

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MY EXTENDED FAMILY ASSISTED LIVING

Doing business as

My Extended Family Residential Care

Practice address

5426 Texas Ave
Naples, FL 34113-7859

Phone

(239) 285-3990

NPI assigned

Mar 10, 2023

Organization subpart

No

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

Authorized official

Name

Miss Bonia Baptiste, MNGR

Title

Admin Manager

Phone

(239) 285-3990

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• My Extended Family Residential Care Doing business as

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1518668276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 TEXAS AVE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137859",
            "telephone_number": "239-285-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5426 TEXAS AVE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137859",
            "telephone_number": "239-285-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY EXTENDED FAMILY ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "BAPTISTE",
        "authorized_official_first_name": "BONIA",
        "authorized_official_title_or_position": "ADMIN MANAGER",
        "authorized_official_telephone_number": "239-285-3990",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MNGR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "882736455",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "882736455",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Extended Family Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Naples, FL
• Providers in Naples, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.