Extra Care Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R4111P Issued in MD

Legal business name

EXTRA CARE HOME HEALTH INC

Practice address

5602 Baltimore National Pike Ste 700
Catonsville, MD 21228-1408

Phone

(443) 315-5143

Fax

(443) 315-5345

NPI assigned

Jun 14, 2017

Organization subpart

No

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

Authorized official

Name

Abayomi Geoffrey Ajepe

Title

President

Phone

(443) 315-5143

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1568992386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 BALTIMORE NATIONAL PIKE STE 700",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281408",
            "telephone_number": "443-315-5143",
            "fax_number": "443-315-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 BALTIMORE NATIONAL PIKE STE 700",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281408",
            "telephone_number": "443-315-5143",
            "fax_number": "443-315-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA CARE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "AJEPE",
        "authorized_official_first_name": "ABAYOMI",
        "authorized_official_middle_name": "GEOFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-315-5143"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R4111P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Catonsville, MD
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• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.