EXTENDED HEARTS HOME CARE, LLC (NPI# 1386115608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386115608 |
| Entity Type | Organization |
| Organization Name | EXTENDED HEARTS HOME CARE, LLC |
| Practice Address |
1100 Logger Ct # G-103c Raleigh NC 27609-8525 |
| Practice Telephone | 9197229069 |
| Mailing Telephone | 9197229069 |
| Enumeration Date | 2018-12-14 |
| Last Update Date | 2018-12-14 |
| Authorized Official Name | MS. SHAMEEKA CAMPBELL (OWNER) |
| Authorized Official Telephone | 9197229069 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | EXTENDED HEARTS HOME CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | Agencies | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Campbell Care Solutions LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871010884 | Extended Hearts Home Care, LLC | In Home Supportive Care | 910 E Ash St Ste A, Goldsboro, NC 27530-3855 | 2017-08-30 |
| Street Address |
1100 LOGGER CT # G-103C |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-8525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487196 | Dublin Home Care, LLC | In Home Supportive Care | 112 King William Rd, Raleigh, NC 27610-1802 | 2020-11-03 |
| 1275132821 | Infinite Favor Home Care Services LLC | In Home Supportive Care | 4373 Auburn Hills Dr, Raleigh, NC 27616-9309 | 2020-10-23 |
| 1780282723 | Kate Lyons | In Home Supportive Care | 5440 Atlantic Springs Rd Ste 109, Raleigh, NC 27616-1855 | 2020-10-12 |
| 1871107680 | Divine Grace Home Care | In Home Supportive Care | 5633 Quitman Trl, Raleigh, NC 27610-6475 | 2020-08-31 |
| 1518570514 | Orich Home Care LLC | In Home Supportive Care | 2609 Atlantic Ave Ste 201b, Raleigh, NC 27604-1550 | 2020-08-28 |
| 1659982031 | Stanley Okezie Onyeabo | In Home Supportive Care | 2421 Timber Dr Ste 211, Raleigh, NC 27604-2265 | 2020-08-11 |
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1619585965 | Heart To Homes Health Care | In Home Supportive Care | 2801 Spring Forest Rd, Raleigh, NC 27616-1901 | 2020-07-22 |
| 1518584283 | Ever Green Choice Care Services Ins | In Home Supportive Care | 4010 Taylor Oaks Dr, Raleigh, NC 27616-8845 | 2020-06-29 |
| 1407473291 | Caring and Loving Homecare Inc | In Home Supportive Care | 5404 Hillsborough St Ste A, Raleigh, NC 27606-1339 | 2020-06-29 |
| Find all providers in RALEIGH | ||||
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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.