Provider Demographics
NPI:1073132965
Name:EXTRA HELPER LLC
Entity Type:Organization
Organization Name:EXTRA HELPER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:JAYSON
Authorized Official - Last Name:ZANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-437-4214
Mailing Address - Street 1:8685 QUEENS BROOK CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-2229
Mailing Address - Country:US
Mailing Address - Phone:480-437-4214
Mailing Address - Fax:
Practice Address - Street 1:3930 E PATRICK LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-4924
Practice Address - Country:US
Practice Address - Phone:480-437-4214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care