Active NPI
Extended Family Home Health, Inc.
- Home Health Agency
- Hayti, MO
National Provider Identifier
1619959921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 606-8
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 334519 | Other | HEALTHLINK PROVIDER NUMBE |
National Provider Directory
National Provider DirectoryLocations
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.