Extension Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EXTENSION HOME CARE LLC

Practice address

2132 Gamma CT
Orange Park, FL 32073-5110

Phone

(904) 494-8360

NPI assigned

Oct 20, 2015

Organization subpart

No

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

Authorized official

Name

Cathleen Merritt

Title

Vice President

Phone

(904) 484-8360

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1841662616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419A COLLEGE DR",
            "address_2": "SUITE 1",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320686508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 GAMMA CT",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735110",
            "telephone_number": "904-494-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENSION HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "904-484-8360"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denyce Evenson
• Kristen Everett, APRN
• Exalt Health Rehabilitation Hospital Orange Park, LLC
• Excelsis Health
• Express Medical Experts, LLC
• Eyeglass World
• Mekal J Faciane, PA-C
• Tara Fagan, SLP
• Sharon Fair
• Theresa Fairbanks, COTA/L

• Home Health Agency in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.