1. Home
  2. Directory
  3. Tennessee
  4. Manchester
  5. Community Behavioral Health
  6. NPI Profile

EXTENDED FAMILY CARE LLC
NPI 1700172392
Community/Behavioral Health in Manchester, TN

Active since June 22, 2011
30 POWERS BRIDGE RD, MANCHESTER, TN 37355(931) 954-5225(931) 954-5221 Get Directions Write a Review

NPPES record last updated: October 23, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Extended Family Care Llc NPPES

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

EXTENDED FAMILY CARE LLC (NPI 1700172392) is a healthcare organization registered as a community/behavioral health in Manchester, Tennessee and active in the NPI registry since June 2011. The organization lists Rose Lonnette Dodge, Administrator / Owner, as its authorized official.

NPPES Registry Identity

NPI1700172392
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEXTENDED FAMILY CARE LLC
Location Address30 POWERS BRIDGE RDManchester, TN 37355-2806
Mailing Address30 Powers Bridge RdManchester, TN 37355-2806 · (931) 954-5225 · Fax (931) 954-5221
Phone(931) 954-5225
Fax(931) 954-5221
Organization SubpartNo
Authorized OfficialRose Lonnette DodgeAdministrator / Owner · (931) 952-3499
Enumeration DateJune 22, 2011
Last NPPES UpdateOctober 23, 2015
✔ NPI 1700172392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in TN · I000000017110
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
30 POWERS BRIDGE RD, Manchester, TN 37355
Open in Google Maps ↗

Other Identifiers 1

MedicaidH445690TN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLC OF MANCHESTER, LLC
Skilled Nursing Facility
30 POWERS BRIDGE RD
MANCHESTER, TN 37355
Coffee County (931) 728-7549

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 Family Care LLC's NPI number?

The NPI number for Extended Family Care LLC is 1700172392. It was assigned to this organization in the NPPES registry on June 22, 2011.

Where is Extended Family Care LLC located?

Extended Family Care LLC is located at 30 Powers Bridge Rd, Manchester, TN 37355. The listed phone number is (931) 954-5225.

What is Extended Family Care LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Extended Family Care LLC was last updated on October 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.