EXTENDED HANDS SENIOR CARE LLC
NPI 1639029580
Nurse Practitioner - Gerontology in Fort Worth, TX
About Extended Hands Senior Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EXTENDED HANDS SENIOR CARE LLC (NPI 1639029580) is a healthcare organization registered as a gerontology in Fort Worth, Texas and active in the NPI registry since January 2026. The organization lists Al Berry, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Extended Hands Senior Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Extended Hands Senior Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Hands Senior Care LLC's NPI number?
The NPI number for Extended Hands Senior Care LLC is 1639029580. It was assigned to this organization in the NPPES registry on January 30, 2026.
Where is Extended Hands Senior Care LLC located?
Extended Hands Senior Care LLC is located at 2501 Clovermeadow Dr, Fort Worth, TX 76123. The listed phone number is (469) 915-4211.
What is Extended Hands Senior Care LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Extended Hands Senior Care LLC enrolled in Medicare?
Yes. Extended Hands Senior Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Extended Hands Senior Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Extended Hands Senior Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Extended Hands Senior Care LLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Extended Hands Senior Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Extended Hands Senior Care LLC was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.
# Extended Hands Senior Care Llc · NPI 1639029580
Gerontology organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since January 30, 2026.
## Identity
- **NPI:** 1639029580 (Entity type: Organization)
- **Enumerated:** January 30, 2026
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **Organization subpart:** No
- **Authorized official:** Al Berry, MANAGER
## Practice location
- **Address:** 2501 CLOVERMEADOW DR, Fort Worth, TX 76123-1171
- **Phone:** (469) 915-4211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639029580) · Data from the CMS NPPES public registry.