Provider Demographics
NPI:1295210730
Name:EXTENSIVE CARE, LLC
Entity Type:Organization
Organization Name:EXTENSIVE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-230-8651
Mailing Address - Street 1:4411 STILLEY RD STE 202B
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-1369
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4411 STILLEY RD STE 202B
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-1369
Practice Address - Country:US
Practice Address - Phone:412-230-8651
Practice Address - Fax:412-774-3766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-01
Last Update Date:2022-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care