EXTENDED HOME CARE INC. NPI 1861474900

NPI Information

  • NPI: 1861474900
  • Provider Name: EXTENDED HOME CARE, INC.
  • Classification: In Home Supportive Care - 253Z00000X
  • Entity Type: Organization
  • Address: 105 RUSSELL ST
    HAYTI, MO
    ZIP 63851
  • Phone: (573) 359-2930

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NPI Details

EXTENDED HOME CARE, INC. is an in home supportive care in Hayti, MO. 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. EXTENDED HOME CARE, INC. NPI is 1861474900. The provider is registered as an organization entity type.

The provider's business location address is:

105 RUSSELL ST
HAYTI, MO
ZIP 63851-300
Phone: (573) 359-2930
Fax: (573) 359-1304

The provider's authorized official is Debra M Clark .
The authorized official title is Ceo/secretary Of The Board and has the following contact phone number (573) 359-5546.

The enumeration date for this NPI number is 11/15/2005 and was last updated on 11/12/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10003454OTHERMISSOURISSBG
2268892502MEDICAIDMISSOURI

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: 11/21/2025

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