Extended Hands Incorporation

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

EXTENDED HANDS INCORPORATION

Practice address

1599 Holly Ridge Dr
Loganville, GA 30052-4180

Phone

(678) 939-8916

NPI assigned

Jan 4, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Margene Renate Edwards, B.S.

Title

Director

Phone

(678) 939-8916

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1679810030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2494",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300521950",
            "telephone_number": "678-939-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 HOLLY RIDGE DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524180",
            "telephone_number": "678-939-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED HANDS INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MARGENE",
        "authorized_official_middle_name": "RENATE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-939-8916",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shabana Qayyum Erattuparambil, DDS
• Victoria Esnault-Brewer, MS, LPC
• Euma Home Health LLC
• Everyone Matters LLC
• Express Weight Loss of Georgia
• Kadasha Fairclough, RN
• Faith and Family Home Care LLC
• Feroz Faiz, PTA
• Father'S Love Medical Center
• Shantaye T Felton

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Loganville, GA
• Providers in Loganville, GA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.