NPIMap

Organization Active NPI

Extended Family Home Care Services LLC

  • Home Health Agency
  • Poland, OH
National Provider Identifier
1700299690
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
UNKNOWN Issued in OH
Legal business name
EXTENDED FAMILY HOME CARE SERVICES LLC
Practice address
515 Berklee Dr
Poland, OH 44514-3597
Phone
(330) 720-8390
NPI assigned
Jun 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Mrs. Rachelle Durkin
Title
Owner/Operating Manager
Phone
(330) 720-8390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X UNKNOWN OH Primary

Addresses

Primary practice location

515 Berklee Dr
Poland, OH 44514-3597

Mailing address

515 Berklee Dr
Poland, OH 44514-3597
Phone (330) 720-8390

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1700299690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 BERKLEE DR",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143597",
            "telephone_number": "330-720-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BERKLEE DR",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143597",
            "telephone_number": "330-720-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED FAMILY HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "DURKIN",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "OWNER/OPERATING MANAGER",
        "authorized_official_telephone_number": "330-720-8390",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "UNKNOWN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.