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EXTRA HAND IN-HOME CARE LLC NPI 1972180719


NPI Information

NPI: 1972180719
Provider Name: EXTRA HAND IN-HOME CARE, LLC
Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
8439 WHITE OAK AVE STE 104A
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 360-2223
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EXTRA HAND IN-HOME CARE, LLC is a home health in Rancho Cucamonga, CA. The provider is 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. EXTRA HAND IN-HOME CARE, LLC NPI is 1972180719. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8439 WHITE OAK AVE STE 104A
RANCHO CUCAMONGA, CA
ZIP 91730-860
Phone: (909) 360-2223
Fax: (909) 360-2247

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 3/26/2021 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
1163WH0200XRegistered NurseHome HealthNo
2163WI0500XRegistered NurseInfusion TherapyNo
3163WW0000XRegistered NurseWound CareNo
4225100000XPhysical TherapistNo
5225X00000XOccupational TherapistNo
6251F00000XHome InfusionNo
7251J00000XNursing CareNo
8253Z00000XIn Home Supportive CareNo
9372600000XAdult CompanionNo
10374U00000XHome Health AideNo
11376J00000XHomemakerNo
12376K00000XNurse's AideNo
13385H00000XRespite CareNo
14251E00000XHome HealthYes

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
1364700044OTHERCALIFORNIACALIFORNIA DEPARTMENT OF SOCIAL SERVICES
2550007839OTHERCALIFORNIACALIFORNIA DEPARTMENT OF PUBLIC HEALTH
37429441OTHERCALIFORNIAMEDI-CAL

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.