Provider Demographics
NPI:1457644825
Name:EXTENDED CARE SERVICES
Entity Type:Organization
Organization Name:EXTENDED CARE SERVICES
Other - Org Name:HOME HELPERS OF THE MOV
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:CHRISTIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-424-5005
Mailing Address - Street 1:15 PINEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26104-8141
Mailing Address - Country:US
Mailing Address - Phone:304-424-5005
Mailing Address - Fax:304-865-3309
Practice Address - Street 1:15 PINEWOOD LN
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26104-8141
Practice Address - Country:US
Practice Address - Phone:304-424-5005
Practice Address - Fax:304-865-3309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-18
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1009-8957253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care