EXTRA MILE HOMECARE SERVICES – NPI #1104493543
In Home Supportive Care

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Health Care Provider Taxonomy Code for In Home Supportive Care

EXTRA MILE HOMECARE SERVICES is an in-home supportive care agency located in COLUMBIA, TN. NPPES has assigned the NPI number 1104493543 to EXTRA MILE HOMECARE SERVICES on June 04, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 253Z00000X from the Health Care Provider Taxonomy code set, which is classified as In Home Supportive Care.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXTRA MILE HOMECARE SERVICES below.

NPI Profile for
EXTRA MILE HOMECARE SERVICES

NPI Number
1104493543
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EXTRA MILE HOMECARE SERVICES
Primary location
1121 TROTWOOD AVE STE 2
COLUMBIA, TN 38401-1803
Phone: (931) 223-8083 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KEITH WYSONG
OWNER
Phone: (731) 217-5944
Updated
Certification Date
Jun 04, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
253Z00000X
- In Home Supportive Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
OWNER EMAIL
Content Type
CSV
Affiliation
N
Endpoint Location
1121 TROTWOOD AVE STE 2,
COLUMBIA, TN 77025-1669