Provider Demographics
NPI:1881390466
Name:EXTENDED HANDS ASSISTED LIVING & HOME CARE LLC
Entity type:Organization
Organization Name:EXTENDED HANDS ASSISTED LIVING & HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:J
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-585-4904
Mailing Address - Street 1:921 TOWN CENTRE BLVD STE 1065
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-2181
Mailing Address - Country:US
Mailing Address - Phone:919-585-4904
Mailing Address - Fax:919-585-5301
Practice Address - Street 1:16 GEMITH CT
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-3689
Practice Address - Country:US
Practice Address - Phone:206-883-8335
Practice Address - Fax:919-585-5301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care