EXTENDED QUALITY OF LIFE, LLC (NPI# 1891245890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891245890 |
| Entity Type | Organization |
| Organization Name | EXTENDED QUALITY OF LIFE, LLC |
| Practice Address |
2677 Wigan Cv Cordova TN 38016-0115 |
| Practice Telephone | 9013157652 |
| Mailing Telephone | 9013157652 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| Authorized Official Name | ANTONISHA ADAIR (OWNER) |
| Authorized Official Telephone | 9013157652 |
| Authorized Official Credential | MSW,LSSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1000000018653 | TN | Agencies |
| Street Address |
2677 WIGAN CV |
| City | CORDOVA |
| State | TN |
| Zip Code | 38016-0115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886872 | Megan Scott Bolton | Physical Therapist | 8110 Cordova Road Suite 107, Cordova, TN 38016 | 2020-06-23 |
| 1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
| 1376195842 | Robert Cody Heismann | Physical Therapist | 8110 Cordova Rd, Ste 107, Cordova, TN 38016 | 2019-07-15 |
| 1881189702 | Carolyn Bean | Home Health Aide | 1786 Beaver Trail Dr, Cordova, TN 38016 | 2018-06-22 |
| 1255776886 | Suzanne Elaine Baker | Family Medicine | 2257 North Germantown Parkway, Memphis, TN 38016 | 2013-05-09 |
| 1487806683 | Janet Lee Ferrell | Counselor | 1340 Siskin Drive, Cordova, TN 38016 | 2008-10-21 |
| 1114186624 | Rebecca L Bills | Optometrist | 1795 N Germantown Pkwy, Cordova, TN 38016 | 2008-06-09 |
| 1679784128 | Linda Kay Yates | Emergency Medicine | 1401 Dexter Lane, Cordova, TN 38016 | 2007-05-25 |
| 1417168386 | Healthquest | Psychiatry & Neurology | 58 Timber Creek, Cordova, TN 38016 | 2007-05-24 |
| 1114079795 | Barbara T Henking | Psychologist | 8134 Country Village, #102, Cordova, TN 38016 | 2007-01-17 |
| Find all providers in zip 38016 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043779010 | Donchita V Stennis | Home Health | 10131 Cameron Ridge Trl, Cordova, TN 38016-7184 | 2019-03-18 |
| 1609347137 | Willie D Richardson Sr. | Home Health | 8316 Macon Ter Ste 102, Cordova, TN 38018-8505 | 2018-12-10 |
| 1619463197 | Roman Williams | Home Health | 8765 Gum Tree Cv, Cordova, TN 38018-7659 | 2018-07-08 |
| 1720502479 | Sc Home Health Care | Home Health | 2149 Purple Leaf Ln, Cordova, TN 38016-5365 | 2017-08-02 |
| 1235664921 | Lhcg Xciii, LLC | Home Health | 8000 Centerview Pkwy Ste 403, Cordova, TN 38018-4227 | 2017-05-01 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1023477171 | Quality Health | Home Health | 2860 Morning Lake Dr Apt 201, Cordova, TN 38016-2408 | 2016-02-17 |
| 1407214778 | Tanya Ragland | Home Health | 8950 Gateshead Ln, Cordova, TN 38018-4871 | 2016-02-02 |
| 1700241767 | We Care Home Health Care of Tennessee Inc | Home Health | 1904 Talisker Dr, Cordova, TN 38016-0155 | 2015-12-17 |
| 1336511161 | Rebuild Rehabilitation | Home Health | 10143 Brussels Ln, Cordova, TN 38016-0572 | 2015-10-20 |
| Find all providers in CORDOVA | ||||
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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.