EXTENDED HEALTH SERVICES, INC. (NPI# 1215491071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215491071 |
| Entity Type | Organization |
| Organization Name | EXTENDED HEALTH SERVICES, INC. |
| Practice Address |
105 Russell St Hayti MO 63851-1300 |
| Mailing Address |
Po Box 544 Hayti MO 63851-0544 |
| Practice Telephone | 5733592930 |
| Practice Fax Number | 5733591304 |
| Mailing Telephone | 5733592930 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| Authorized Official Name | MR. GLENN D HAYNES (CEO) |
| Authorized Official Telephone | 5733592930 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Y00000X | Spec/Tech, Health Info | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
105 RUSSELL ST |
| City | HAYTI |
| State | MO |
| Zip Code | 63851-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619959921 | Extended Family Home Health, Inc. | Home Health | 105 Russell St, Hayti, MO 63851-1300 | 2005-11-14 |
| 1851663280 | Gonzalez & Scheffer LLC | Obstetrics & Gynecology | 105 Russell St, Hayti, MO 63851-1300 | 2012-02-01 |
| 1871611814 | Extended Home Care, Inc | In Home Supportive Care | 105 Russell St, Hayti, MO 63851-1300 | 2007-03-27 |
| 1861474900 | Extended Home Care, Inc. | In Home Supportive Care | 105 Russell St, Hayti, MO 63851-1300 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619518032 | Mcpherson Medical & Diagnostic, LLC | Clinic/Center | 110 Us Hwy 61 N, Ste B, Hayti, MO 63851 | 2019-10-07 |
| 1225525744 | Roosevelt Dismukes Jr. | Behavior Technician | 500 Highway 61 N J, Hayti, MO 63851 | 2018-04-19 |
| 1417461625 | Rivian Ricole Hill | Recreation Therapist | 501 Highway 61 J N, Hayti, MO 63851 | 2017-11-27 |
| 1750761169 | Lindsey Moody | Case Manager/Care Coordinator | 909 East Reed Street, Hayti, MO 63851 | 2015-06-02 |
| 1710375811 | Jeremy Winstead | Technician, Other | 500 Highway J North, Hayti, MO 63851 | 2014-12-26 |
| 1164810206 | Teresa Ward | Registered Nurse | 589 Hwy J, Hayti, MO 63851 | 2014-12-23 |
| 1780081463 | Heather Brown | Case Manager/Care Coordinator | 581 Hwy J, Hayti, MO 63851 | 2014-11-25 |
| 1184029241 | Cheryl Byrd | Case Manager/Care Coordinator | 581 Highway J, Hayti, MO 63851 | 2014-10-30 |
| 1114320827 | Toshia Russell | Licensed Practical Nurse | 579 North Highway J, Hayti, MO 63851 | 2014-10-08 |
| 1992104301 | Lora Hawes | Case Manager/Care Coordinator | 581 Hwy J North, Hayti, MO 63851 | 2014-08-21 |
| Find all providers in zip 63851 | ||||
| Taxonomy Code | 246Y00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Health Info |
| An individual with a high school diploma, on-the-job experience and coding education from seminars or college classes who passes a national certification examination in either inpatient and outpatient facility services coding, or physician services coding. |
| Notes: Source: American Health Information Management Association, Chicago, IL, 1996. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163341 | Laura L Gruebbel | Spec/Tech, Health Info | 1430 Olive St, Saint Louis, MO 63103-2360 | 2020-10-29 |
| 1982105581 | Theresa R Sanders | Spec/Tech, Health Info | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2018-02-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.