Organization Active NPI

Extended Healthcare Services LLC

  • Home Health Agency
  • Union City, GA
National Provider Identifier
1720739972
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXTENDED HEALTHCARE SERVICES LLC
Practice address
6740 Shannon Pkwy Ste 34
Union City, GA 30291-2058
Phone
(770) 681-0374
NPI assigned
Jan 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Ms. Mary S Batson, RNNPI 1154900363
Title
Administrator/Owner
Phone
(770) 256-9898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6740 Shannon Pkwy Ste 34
Union City, GA 30291-2058

Mailing address

823 Garden Walk Blvd Apt B
College Park, GA 30349-6256
Phone (770) 256-9898

National Provider Directory

National Provider Directory

Locations

6740 Shannon Pkwy
Ste 34
Union City, GA 30291
Phone (770) 256-9898

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1720739972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 GARDEN WALK BLVD APT B",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303496256",
            "telephone_number": "770-256-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 SHANNON PKWY STE 34",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912058",
            "telephone_number": "770-681-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "BATSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "770-256-9898",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.