Active NPI
My Extended Family, LLC
- Developmentally Disabled Services Day Training Agency
- Lebanon, KY
National Provider Identifier
1750173761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- MY EXTENDED FAMILY, LLC
- Practice address
- 106 Cemetery Rd
Lebanon, KY 40033-1827 - Phone
- (270) 699-0293
- NPI assigned
- May 19, 2025
- 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
- Melinda Ann Hayden, RN, ED
- Title
- Owner, Executive Director
- Phone
- (270) 699-0293
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
106 Cemetery Rd
Lebanon, KY 40033-1827
Mailing address
106 Cemetery Rd
Lebanon, KY 40033-1827
Phone (270) 699-0293
National Provider Directory
National Provider DirectoryLocations
106 Cemetery Rd
Lebanon, KY 40033
Phone (270) 321-4198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747612800000",
"number": "1750173761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 CEMETERY RD",
"city": "LEBANON",
"state": "KY",
"postal_code": "400331827",
"telephone_number": "270-699-0293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 CEMETERY RD",
"city": "LEBANON",
"state": "KY",
"postal_code": "400331827",
"telephone_number": "270-699-0293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY EXTENDED FAMILY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-19",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A",
"authorized_official_last_name": "HAYDEN",
"authorized_official_first_name": "MELINDA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER, EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "270-699-0293",
"authorized_official_credential": "RN, ED"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.