EXTENDED HOME CARE
NPI 1396836219
Home Health in Brooklyn, NY

Q: What is Extended Nursing Personnel Chha, LLC's NPI number?

The NPI number for Extended Nursing Personnel Chha, LLC is 1396836219. It was assigned to this organization in the NPPES registry on September 27, 2006. The provider is doing business as Extended Home Care.

Q: What is Extended Nursing Personnel Chha, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since September 27, 2006CLIA 33D2029053 · Waiver

2003 CONEY ISLAND AVE FL 3, BROOKLYN, NY 11223(212) 356-4200(917) 793-4279 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Extended Home Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXTENDED HOME CARE (NPI 1396836219) is a healthcare organization registered as a home health in Brooklyn, New York and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jaclyn Diana, Administrator, as its authorized official.

NPPES Registry Identity

NPI1396836219

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameEXTENDED NURSING PERSONNEL CHHA, LLC

Location Address2003 CONEY ISLAND AVE FL 3Brooklyn, NY 11223-2328

Mailing Address2003 Coney Island Ave Fl 3Brooklyn, NY 11223-2328 · (212) 356-4200 · Fax (917) 793-4279

Phone(212) 356-4200

Fax(917) 793-4279

Organization SubpartNo

Authorized OfficialJaclyn DianaAdministrator · (212) 356-4200

Enumeration DateSeptember 27, 2006

Last NPPES UpdateMarch 28, 2024

NPPES CertifiedMarch 28, 2024

✔ NPI 1396836219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in NY · 7002653

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

2003 CONEY ISLAND AVE FL 3, Brooklyn, NY 11223

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Other Names 1

Doing Business AsExtended Home Care

Other Identifiers 1

Medicaid01973037NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2029053

Extended Home Care · Brooklyn, NY

Active · expires Mar 26, 2027

CLIA Number33D2029053

Laboratory TypeHome Health Agency

Certificate Effective DateAugust 31, 2011

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorMikhail M. Shpak

Laboratory Phone(212) 356-4200

Laboratory LocationExtended Home Care2003 Coney Island Ave, Brooklyn, NY 11223

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Extended Nursing Personnel Chha, LLC's NPI number?

The NPI number for Extended Nursing Personnel Chha, LLC is 1396836219. It was assigned to this organization in the NPPES registry on September 27, 2006. The provider is doing business as Extended Home Care.

Where is Extended Nursing Personnel Chha, LLC located?

Extended Nursing Personnel Chha, LLC is located at 2003 Coney Island Ave Fl 3, Brooklyn, NY 11223. The listed phone number is (212) 356-4200.

What is Extended Nursing Personnel Chha, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Extended Nursing Personnel Chha, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2029053) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Extended Nursing Personnel Chha, LLC was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.