Organization Active NPI

Extended Family Home Health, Inc.

  • Home Health Agency
  • Hayti, MO
National Provider Identifier
1619959921
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
606-8 Issued in MO
Legal business name
EXTENDED FAMILY HOME HEALTH, INC.
Practice address
105 Russell St
Hayti, MO 63851-1300
Phone
(573) 359-2930
Fax
(573) 359-0910
NPI assigned
Nov 14, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Emily Carol Gee, RN, BSN
Title
Vice-President
Phone
(573) 359-2930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 606-8 MO Primary

Addresses

Primary practice location

105 Russell St
Hayti, MO 63851-1300

Mailing address

105 Russell St
PO Box 544
Hayti, MO 63851-1300
Phone (573) 359-2930

Other identifiers 1

IdentifierTypeStateIssuer
334519OtherHEALTHLINK PROVIDER NUMBE

National Provider Directory

National Provider Directory

Locations

105 Russell St
Hayti, MO 63851
Phone (573) 359-2930

105 Russell St
Ste A
Hayti, MO 63851
Phone (573) 359-2930

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619959921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RUSSELL ST",
            "address_2": "PO BOX 544",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511300",
            "telephone_number": "573-359-2930",
            "fax_number": "573-359-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RUSSELL ST",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511300",
            "telephone_number": "573-359-2930",
            "fax_number": "573-359-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED FAMILY HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "573-359-2930",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "606-8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PROVIDER NUMBE",
            "identifier": "334519",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayti, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.