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EXTENSIONS OF LIVING, LLC
NPI 1477823169
Homemaker in Hattiesburg, MS

Active since January 11, 2012
301 HUMBLE AVE, SUITE 174, HATTIESBURG, MS 39401(601) 582-4695(601) 582-8178 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Extensions Of Living, Llc NPPES

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

EXTENSIONS OF LIVING, LLC (NPI 1477823169) is a healthcare organization registered as a homemaker in Hattiesburg, Mississippi and active in the NPI registry since January 2012. The organization lists Vicki Renee Jackson, Director, as its authorized official.

NPPES Registry Identity

NPI1477823169
Entity TypeOrganization
Primary Taxonomy376J00000X
Legal Business NameEXTENSIONS OF LIVING, LLC
Location Address301 HUMBLE AVE, SUITE 174Hattiesburg, MS 39401-6365
Mailing Address301 Humble Ave, Suite 174Hattiesburg, MS 39401-6365 · (601) 582-4695 · Fax (601) 582-8178
Phone(601) 582-4695
Fax(601) 582-8178
Organization SubpartNo
Authorized OfficialVicki Renee JacksonDirector · (601) 582-4695
Enumeration DateJanuary 11, 2012
✔ NPI 1477823169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHomemakerNursing Service Related Providers
Taxonomy Code376J00000X
License✔ Licensed in MS · 07589517
Definition
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.
301 HUMBLE AVE, Hattiesburg, MS 39401
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Other Identifiers 2

Medicaid07628574MS
Medicaid07589517MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Extensions Of Living, LLC's NPI number?

The NPI number for Extensions Of Living, LLC is 1477823169. It was assigned to this organization in the NPPES registry on January 11, 2012.

Where is Extensions Of Living, LLC located?

Extensions Of Living, LLC is located at 301 Humble Ave Suite 174, Hattiesburg, MS 39401. The listed phone number is (601) 582-4695.

What is Extensions Of Living, LLC's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

When was this NPI record last updated?

The NPPES record for Extensions Of Living, LLC was last updated on January 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.