NPIMap

Organization Active NPI

Extracare LLC

  • Non-emergency Medical Transport (VAN)
  • Columbus, OH
National Provider Identifier
1871090514
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
EXTRACARE LLC
Doing business as
Extracare LLC
Practice address
5969 E Livingston Ave Ste 209
Columbus, OH 43232-2907
Phone
(614) 806-4465
NPI assigned
Apr 10, 2018
Last updated
Jun 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
Euel Kasaye
Title
Owner
Phone
(614) 806-4465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X OH Primary

Addresses

Primary practice location

5969 E Livingston Ave Ste 209
Columbus, OH 43232-2907

Mailing address

5969 E Livingston Ave Ste 209
Columbus, OH 43232-2907
Phone (614) 806-4465

Other names 1

  • EXTRACARE LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1871090514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5969 E LIVINGSTON AVE STE 209",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432322907",
            "telephone_number": "614-806-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5969 E LIVINGSTON AVE STE 209",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432322907",
            "telephone_number": "614-806-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRACARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "KASAYE",
        "authorized_official_first_name": "EUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-806-4465"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXTRACARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.