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EXTRA HAND IN-HOME CARE LLC NPI 1083134738


NPI Information

NPI: 1083134738
Provider Name: EXTRA HAND IN-HOME CARE, LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
8439 WHITE OAK AVE STE 104
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 360-2223
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EXTRA HAND IN-HOME CARE, LLC is an in home supportive care in Rancho Cucamonga, CA. The provider is 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. EXTRA HAND IN-HOME CARE, LLC NPI is 1083134738. The provider is registered as an organization entity type.

The provider's business location address is:

8439 WHITE OAK AVE STE 104
RANCHO CUCAMONGA, CA
ZIP 91730-860
Phone: (909) 360-2223
Fax: (909) 360-2293

The provider's authorized official is Harry Ellis Gaines .
The authorized official title is President/ Managing Member and has the following contact phone number (909) 360-2223.

The enumeration date for this NPI number is 6/23/2017 and was last updated on 2/1/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthNo
2251F00000XHome InfusionNo
3251J00000XNursing CareNo
4372600000XAdult CompanionNo
5374U00000XHome Health AideNo
6376J00000XHomemakerNo
7376K00000XNurse's AideNo
8385HR2050XRespite CareRespite Care CampNo
9253Z00000XIn Home Supportive Care364700044CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1080126397OTHERDUN & BRADSTREET
2364700044OTHERCALIFORNIACALIFORNIA DEPTARTMENT OF SOCIAL SERVICES
3550007839OTHERCALIFORNIACALIFORNIA DEPARTMENT OF PUBLIC HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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