Life Extended Home Llc

LBN: Life Extended Home Llc
Life Extended Home Llc is an health care organization with primary practice located at 5505 145Th Street N/A, Urbandale IA 50323. The organization recently has 5 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / Community/Behavioral Health, Agencies / Foster Care Agency, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty. Life Extended Home Llc can be contacted via phone (515) 943-6732, or through Gakunzi, Ntwari N via phone (515) 943-6732.

Contact Information

Primary practice address
5505 145Th Street N/A Urbandale IA 50323
Phone: (515) 943-6732
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gakunzi, Ntwari N
Phone: (515) 943-6732

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Foster Care Agency 253J00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1841012762
LBN Legal business name Life Extended Home Llc
DBA Doing business as
Authorized official Gakunzi, Ntwari N
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2024
Last updated Oct 30th, 2024 - about 2 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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