Extended Family Care Llc

LBN: Extended Family Care Llc
Extended Family Care Llc is an health care organization with primary practice located at 1001 Mcarthur St , Manchester TN 37355-2419. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Extended Family Care Llc can be contacted via phone (931) 295-0856, or through Dodge, Rose L via phone (319) 952-3499.

Contact Information

Primary practice address
1001 Mcarthur St Manchester TN 37355-2419
Phone: (931) 295-0856
Fax: (931) 954-0856
Website:
Map and Directions
Authorized official contact:
Name: Dodge, Rose L
Phone: (319) 952-3499

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1225659956
LBN Legal business name Extended Family Care Llc
DBA Doing business as
Authorized official Dodge, Rose L
Entity Organization
Organization subpart 1 Yes
Enumeration date May 5th, 2020
Last updated May 15th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225659956 NPPES
Tennessee MEDICAID H445690

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