EXTENSIONS OF LIVING LLC NPI 1477823169

NPI Information

  • NPI: 1477823169
  • Provider Name: EXTENSIONS OF LIVING, LLC
  • Classification: Homemaker - 376J00000X
  • Entity Type: Organization
  • Address: 301 HUMBLE AVE
    SUITE 174
    HATTIESBURG, MS
    ZIP 39401
  • Phone: (601) 582-4695

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NPI Details

EXTENSIONS OF LIVING, LLC is a homemaker in Hattiesburg, MS. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. EXTENSIONS OF LIVING, LLC NPI is 1477823169. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

301 HUMBLE AVE
SUITE 174
HATTIESBURG, MS
ZIP 39401-365
Phone: (601) 582-4695
Fax: (601) 582-8178

The provider's authorized official is Vicki Renee Jackson .
The authorized official title is Director and has the following contact phone number (601) 582-4695.

The enumeration date for this NPI number is 1/11/2012 and was last updated on 1/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1376J00000XHomemaker07589517MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
107628574MEDICAIDMISSISSIPPI
207589517MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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