EXTENDED HOME CARE CO. (NPI# 1306357322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306357322 |
| Entity Type | Organization |
| Organization Name | EXTENDED HOME CARE CO. |
| Practice Address |
109 Collins Ave Mandan ND 58554-3104 |
| Practice Telephone | 7017513363 |
| Practice Fax Number | 7017511163 |
| Mailing Telephone | 7017513363 |
| Mailing Fax Number | 7017511163 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |
| Authorized Official Name | MELISSA J ERHART (VICE PRESIDENT) |
| Authorized Official Telephone | 7017513363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
109 COLLINS AVE |
| City | MANDAN |
| State | ND |
| Zip Code | 58554-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548782790 | 1150 Group Home | Intermediate Care Facility, Mentally Retarded | 1150 N. Collins Aveue, Mandan, ND 58554 | 2017-07-10 |
| 1871029033 | Anthony Kozojed | Case Manager/Care Coordinator | 701 16th Ave Se, Mandan, ND 58554 | 2017-05-10 |
| 1437690609 | 1140 Grouphome | Intermediate Care Facility, Mentally Retarded | 1140 Collins Ave, Mandan, ND 58554 | 2017-03-20 |
| 1497157895 | West River Head Start | Public Health or Welfare | 1004 7th St Nw, Mandan, ND 58554 | 2014-09-17 |
| 1093134017 | St. Alexius Mandan Pharmacy, LLC | Pharmacy | 2500 Sunset Drive Nw, Suite 2, Mandan, ND 58554 | 2014-04-08 |
| 1639501141 | Lakewood Landing, Inc. | Assisted Living Facility | 4401 21st St Se, Mandan, ND 58554 | 2013-08-07 |
| 1578835641 | Hit Inc. 1301 Grouphome | Intermediate Care Facility, Mentally Retarded | 1301 7th Ave Se, Mandan, ND 58554 | 2012-02-03 |
| 1689953036 | Timothy Lee Ulledahl | Physical Therapy Assistant | 1833 East Bismarck Expressway, Bismarck, ND 58554 | 2011-08-16 |
| 1316232887 | Nagel Family Chiropractic and Wellness LLC | Chiropractor | 2008 Twin City Drive, Mandan, ND 58554 | 2011-06-13 |
| 1598062143 | 1201 Grouphome | Intermediate Care Facility, Mentally Retarded | 1201 7th Ave Se, Mandan, ND 58554 | 2011-02-17 |
| Find all providers in zip 58554 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669082 | Cheri Bautz | Home Health Aide | 942 Mckenzie St, New England, ND 58647-7106 | 2020-11-02 |
| 1215537261 | Sylvia Kaye Moore | Home Health Aide | 60 Moore Lane, Mountain, ND 58262-0111 | 2020-10-29 |
| 1528668696 | Amanda Reed | Home Health Aide | 1701 Wheatland Dr, Devils Lake, ND 58301-3205 | 2020-10-28 |
| 1316546922 | Kenny A Hammer | Home Health Aide | 3807 22nd Ave W, Williston, ND 58801-2439 | 2020-10-23 |
| 1912506668 | Andrew Hager | Home Health Aide | 4205 Montreal St Apt 103, Bismarck, ND 58503-0344 | 2020-10-23 |
| 1194323626 | Karly Brennan | Home Health Aide | 1006 E Central Ave Ste B, Bismarck, ND 58501-1936 | 2020-10-16 |
| 1508464769 | Janet Pritchard | Home Health Aide | 7257 99th Ave Sw, Mott, ND 58646-9267 | 2020-10-10 |
| 1437790797 | Am Investments LLC | Home Health Aide | 1151 32nd Ave N Apt 428, Fargo, ND 58102-1099 | 2019-10-07 |
| 1487071494 | Cassandra Jones | Home Health Aide | 801 Broadway N, Fargo, ND 58102-3641 | 2014-03-27 |
Please comment or provide details below to improve the information on EXTENDED HOME CARE CO..
| 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.