Extended Hearts Llc

LBN: Extended Hearts Llc
Extended Hearts Llc is an health care organization with primary practice located at 722 Blackmoat Pl , Miamisburg OH 45342-2725. The organization recently has 10 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Nursing Care, Agencies / Community/Behavioral Health, Agencies / Foster Care Agency, Agencies / In Home Supportive Care, Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Extended Hearts Llc can be contacted via phone (937) 287-7472, or through Joiner, Carmen via phone (937) 287-7472.

Contact Information

Primary practice address
722 Blackmoat Pl Miamisburg OH 45342-2725
Phone: (937) 287-7472
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Joiner, Carmen
Phone: (937) 287-7472

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Nursing Care 251J00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Foster Care Agency 253J00000X
Agencies / In Home Supportive Care 253Z00000X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X Ohio
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1043739139
LBN Legal business name Extended Hearts Llc
DBA Doing business as
Authorized official Joiner, Carmen
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2017
Last updated Sep 11th, 2017 - 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 1043739139 NPPES
Ohio MEDICAID 0196030

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