Active NPI
Extended Care Inc.
- PACE Provider Organization
- Norcross, GA
National Provider Identifier
1992047096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- EXTENDED CARE INC.
- Practice address
- 5282 Station Cir
Norcross, GA 30071-4501 - Phone
- (770) 849-0270
- Fax
- (770) 849-0279
- NPI assigned
- Mar 27, 2013
- 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
- Ms. Merlynette Morris-Gleaton
- Title
- Ceo/Exec.Director
- Phone
- (770) 849-0270
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| PACE Provider Organization | 251T00000X | Primary | ||
| Voluntary or Charitable Agency | 251V00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Health Maintenance Organization | 302R00000X | |||
| Point of Service | 305S00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
5282 Station Cir
Norcross, GA 30071-4501
Mailing address
5282 Station Cir
Norcross, GA 30071-4501
Phone (770) 849-0270
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- In Home Supportive Care Agency
- Norcross, GA
- NPI 1740536929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364342400000",
"number": "1992047096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5282 STATION CIR",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300714501",
"telephone_number": "770-849-0270",
"fax_number": "770-849-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5282 STATION CIR",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300714501",
"telephone_number": "770-849-0270",
"fax_number": "770-849-0279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXTENDED CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-27",
"last_updated": "2013-03-27",
"status": "A",
"authorized_official_last_name": "MORRIS-GLEATON",
"authorized_official_first_name": "MERLYNETTE",
"authorized_official_title_or_position": "CEO/EXEC.DIRECTOR",
"authorized_official_telephone_number": "770-849-0270",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": true
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.