Extended Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EXTENDED HOME HEALTH INC

Practice address

9644 Court Glen Dr
Houston, TX 77099-2541

Phone

(281) 216-2555

NPI assigned

Feb 24, 2012

Organization subpart

No

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

Authorized official

Name

Kennedy Obanor

Title

President

Phone

(281) 216-2555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1891069787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13619 TONNOCHY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836042",
            "telephone_number": "281-216-2555",
            "fax_number": "877-915-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9644 COURT GLEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770992541",
            "telephone_number": "281-216-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Pan American Dr Ste B1",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "TX",
            "postal_code": "773514065",
            "country_code": "US",
            "telephone_number": "281-216-2555",
            "fax_number": "877-915-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXTENDED HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "OBANOR",
        "authorized_official_first_name": "KENNEDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-216-2555"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.