EXTENSIONS OF LIFE LLC (NPI# 1841797651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841797651 |
| Entity Type | Organization |
| Organization Name | EXTENSIONS OF LIFE LLC |
| Practice Address |
2209 Lapalco Blvd Ste II Harvey LA 70058-6123 |
| Mailing Address |
Po Box 2578 Gretna LA 70054-2578 |
| Practice Telephone | 5043227710 |
| Practice Fax Number | 5043227708 |
| Mailing Telephone | 5043227710 |
| Mailing Fax Number | 5043227708 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |
| Authorized Official Name | DONDRA FISHER (DIRECTOR) |
| Authorized Official Telephone | 5043227710 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
2209 LAPALCO BLVD STE II |
| City | HARVEY |
| State | LA |
| Zip Code | 70058-6123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144853003 | Carmen Nikita Ward-lewis | Counselor | 1901 Manhattan Blvd, Building D, Suite 104, Harvey, LA 70058 | 2020-02-19 |
| 1275023087 | Michael Ellis | Counselor | 3820 Melissa Dr, Harvey, LA 70058 | 2018-05-16 |
| 1316436447 | Affiliated Heart2heart Homecare Services, Inc. | In Home Supportive Care | 1901 Westbank Expy Ste 600, Harvey, LA 70058 | 2018-05-03 |
| 1720595804 | Alkeisha Lachelle Clark | Counselor | 4209 L Ac Couture Dr., D, Harvey, LA 70058 | 2018-01-10 |
| 1659888253 | Kevin A Velasquez | Psychologist | 81 Lake Lynn Dr, Harvey, LA 70058 | 2018-01-04 |
| 1629582937 | Tessie Hart | Counselor | 426 Manhattan Blvd., Harvey, LA 70058 | 2017-11-22 |
| 1326557562 | Lauretta Anne Gavin | Counselor | 2439 Manhattan Blvd., Suite 207, Harvey, LA 70058 | 2017-09-20 |
| 1760908792 | Eboni Dillon | Counselor | 3148 Keith Way Dr, Harvey, LA 70058 | 2017-08-22 |
| 1194246207 | Shawn Galmore | Counselor | 2808 Keithway Dr, Harvey, LA 70058 | 2017-06-28 |
| 1750811345 | Elite Learning Academy | Private Vehicle | 1913 Sugarloaf Drive, Harvey, LA 70058 | 2017-06-15 |
| Find all providers in zip 70058 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747484 | Hav-it Services | Community/Behavioral Health | 1800 Allen Ave, Harvey, ND 58341-1727 | 2020-10-12 |
| 1154929297 | Hav-it Services | Community/Behavioral Health | 301 Jackson Ave, Harvey, ND 58341-1300 | 2020-10-12 |
| 1295332559 | Hav-it Services | Community/Behavioral Health | 409 Brewster St W, Harvey, ND 58341-1466 | 2020-10-08 |
| 1124649967 | Trena Harris | Community/Behavioral Health | 1752 Wedgwood Dr, Harvey, LA 70058-7436 | 2020-05-04 |
| 1619508074 | Stairway To Greatness Mentorship-entrepreneurship Program | Community/Behavioral Health | 18 Wells Ave, Harvey, IL 60426-1217 | 2020-02-03 |
| 1285173187 | Quinnette White | Community/Behavioral Health | 4044 Mayhaw Dr, Harvey, LA 70058-5029 | 2017-02-13 |
| 1902268980 | Acidom Medical Services II LLC | Community/Behavioral Health | 3864 Deercreek Ln, Harvey, LA 70058-2115 | 2016-03-28 |
| 1336544808 | New Visions Behavioral Health Center, LLC | Community/Behavioral Health | 1901 Westbank Expy Ste 300, Harvey, LA 70058-4370 | 2014-10-27 |
| 1275967226 | New Choice Intervention, Inc. | Community/Behavioral Health | 142 E 154th St, Harvey, IL 60426-3326 | 2013-08-27 |
| 1821358300 | Impact Behavior Health Services LLC. | Community/Behavioral Health | 2439 Manhattan Blvd Ste 402, Harvey, LA 70058-5469 | 2012-05-18 |
| Find all providers in HARVEY | ||||
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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.