NPI 1992047096

Extended Care INC.

Organisation PACE Provider Organization Norcross, GA

Practice location

Address: 5282 Station Cir, Norcross, GA 30071-4501
Phone: (770) 849-0270
Fax: (770) 849-0279

Authorised official

Name: Merlynette Morris-Gleaton
Title: Ceo/Exec.Director
Phone: (770) 849-0270

Registered specialties (9)

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Voluntary or Charitable Agency

Agencies Taxonomy 251V00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Health Maintenance Organization

Managed Care Organizations Taxonomy 302R00000X

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Point of Service

Managed Care Organizations Taxonomy 305S00000X

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Non-emergency Medical Transport (VAN)

Transportation Services Taxonomy 343900000X

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Private Vehicle

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1992047096
Entity type: Organization
NPI issued: 27 Mar 2013
Record last updated: 27 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.