Extended Grace Home Care Services Llc

LBN: Extended Grace Home Care Services Llc
Extended Grace Home Care Services Llc is an health care organization with primary practice located at 1905 N Ridge Rd E Ste D , Lorain OH 44055-3344. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Extended Grace Home Care Services Llc can be contacted via phone (440) 412-9279, or through Cooper, Yalesia N via phone (440) 453-8981.

Contact Information

Primary practice address
1905 N Ridge Rd E Ste D Lorain OH 44055-3344
Phone: (440) 412-9279
Fax: (440) 848-8894
Website:
Map and Directions
Authorized official contact:
Name: Cooper, Yalesia N
Phone: (440) 453-8981

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1104397397
LBN Legal business name Extended Grace Home Care Services Llc
DBA Doing business as
Authorized official Cooper, Yalesia N
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2018
Last updated Dec 16th, 2018 - about 7 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 1104397397 NPPES
Ohio MEDICAID 0275647

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