Organization Active NPI

My Extended Family, LLC

  • Developmentally Disabled Services Day Training Agency
  • Lebanon, KY
National Provider Identifier
1750173761
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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

Updated by the provider on May 19, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.