Provider Demographics
NPI:1689451965
Name:EXTENDED HOME CARE SERVICES
Entity Type:Organization
Organization Name:EXTENDED HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SYLIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-284-4185
Mailing Address - Street 1:460 FRANKLIN ST UNIT 117
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-6296
Mailing Address - Country:US
Mailing Address - Phone:345-284-4185
Mailing Address - Fax:
Practice Address - Street 1:460 FRANKLIN ST UNIT 117
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-6296
Practice Address - Country:US
Practice Address - Phone:345-284-4185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty