EXTENDED FAMILY CARE LLC (NPI# 1225659956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225659956 |
| Entity Type | Organization |
| Organization Name | EXTENDED FAMILY CARE LLC |
| Practice Address |
1001 Mcarthur St Manchester TN 37355-2419 |
| Mailing Address |
Po Box 870 Manchester TN 37349-0870 |
| Practice Telephone | 9312950856 |
| Practice Fax Number | 9319540856 |
| Mailing Telephone | 9312956252 |
| Mailing Fax Number | 9319540856 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | MRS. ROSE L DODGE (ADMINSTRATOR/OWNER) |
| Authorized Official Telephone | 3199523499 |
| Is Organization Subpart | Y |
| Parent Organization Name | EXTENDED FAMILY CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | H445690 | 05 |
| Other Name | Type Code |
|---|---|
| Legends, LLC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164770566 | Extended Family Care LLC | Community Health Worker | 3309 Ashley Dr, 3309 Ashley, Violet, LA 70092-2837 | 2012-08-16 |
| 1598142325 | Extended Family Care LLC | Home Health | 37 Gilead Hill Rd, Box 123, North Chili, NY 14514-1239 | 2015-04-30 |
| 1700172392 | Extended Family Care LLC | Community/Behavioral Health | 30 Powers Bridge Rd, Manchester, TN 37355-2806 | 2011-06-22 |
| Street Address |
1001 MCARTHUR ST |
| City | MANCHESTER |
| State | TN |
| Zip Code | 37355-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790792141 | Neil Edward Christopher Jr. | Emergency Medicine | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2006-08-01 |
| 1427306521 | Regina Maria Poston | Registered Nurse | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2012-08-21 |
| 1114209400 | Coffee Medical Group LLC | Internal Medicine | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2011-09-13 |
| 1376794495 | Exa Freuler Ogden | Dietitian, Registered | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2008-10-07 |
| 1124227707 | United Regional Medical Center Nursing Home | Skilled Nursing Facility | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2007-07-13 |
| 1104995281 | Coffee Medical Group LLC | General Acute Care Hospital | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659857126 | Ashley Harmon Layne | Speech-Language Pathologist | 205 S Woodland St, Manchester, TN 37355 | 2018-07-17 |
| 1760996771 | Quad/med, LLC | Clinic/Center | 227 Monogard Rd, Manchester, TN 37355 | 2017-11-29 |
| 1881108157 | Sarabeth Seagreaves | Specialist/Technologist | 1700 Summer St Apt A36, Manchester, TN 37355 | 2017-11-25 |
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1316361561 | Charlotte Gibbs | Counselor | 482 Interstate Dr Ste D, Manchester, TN 37355 | 2014-02-08 |
| 1205258191 | Aleene Marie Falk | Social Worker | 218 Forrestwood Drive, Manchester, TN 37355 | 2014-01-10 |
| 1790067429 | Reda Lynn Lawson | Registered Nurse | 800 Parks Street, Manchester, TN 37355 | 2011-09-20 |
| 1912294117 | Patricia Beth Elliott | Nurse Practitioner | 804 Keylon Street, Manchester, TN 37355 | 2011-07-08 |
| 1427241421 | Kimberly D. Mathis | Nurse Practitioner | 1600 Mcarthur Street, Manchester, TN 37355 | 2007-08-22 |
| 1982761441 | Richard Eugene Fishbein | Orthopaedic Surgery | 102 East High Street, Manchester, TN 37355 | 2007-01-03 |
| Find all providers in zip 37355 | ||||
| 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 |
|---|---|---|---|---|
| 1659879500 | New Paths Counseling and Recovery Services | Community/Behavioral Health | 25 Lowell St Ste 203, Manchester, NH 03101-1647 | 2018-01-25 |
| 1053761270 | Waters Edge Therapy, Inc | Community/Behavioral Health | 127 Worthing Rd, Manchester, ME 04351-3234 | 2016-06-18 |
| 1821400888 | Emdr Training Center LLC | Community/Behavioral Health | 11 Hassam Ct, Manchester, MO 63021-5105 | 2014-05-27 |
| 1053740662 | Mike Lewis | Community/Behavioral Health | 604 College St, Manchester, TN 37355-1769 | 2013-11-04 |
| 1831534213 | Dickerson Enterprise LLC | Community/Behavioral Health | 872 Vernon St, Manchester, CT 06042-2415 | 2013-04-30 |
| 1932386463 | Family Strategies and Services | Community/Behavioral Health | 117 Market St, Manchester, NH 03101-1933 | 2008-01-28 |
| 1437209749 | Delaware County Community Life | Community/Behavioral Health | 601 Grant Street, Manchester, IA 52057-2005 | 2007-01-11 |
| 1629620976 | Del Marillac Counseling Services, Pllc | Community/Behavioral Health | 35 High St, Manchester, NH 03104-6116 | 2019-07-16 |
| 1205305497 | Elevate Counseling Services LLC | Community/Behavioral Health | 341 Bidwell St, Manchester, CT 06040-6470 | 2018-11-16 |
| 1356818769 | Granite Pathways, Inc. | Community/Behavioral Health | 1056 River Rd, Manchester, NH 03104-1958 | 2018-10-24 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 37355 |
Please comment or provide details below to improve the information on EXTENDED FAMILY CARE LLC.
| 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.