Organization · NPI-2
Extention Of Life Care, LLC
Technician, Other · Concord, NC
NPI number1831047570
StatusActive
Last updated in NPPESMar 18, 2026
Details
- NPI
- 1831047570
- Entity type
- Organization (NPI-2)
- Legal business name
- Extention Of Life Care, LLC
- Organization subpart
- No
- Enumeration date
- Mar 18, 2026
- Certification date
- Mar 18, 2026
- Last updated
- Mar 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
| 171W00000X | Contractor | – | – | |
| 246RP1900X | Technician, Pathology, Phlebotomy | – | – | |
| 372500000X | Chore Provider | – | – | |
| 372600000X | Adult Companion | – | – | |
| 373H00000X | Day Training/Habilitation Specialist | – | – | |
| 3747A0650X | Technician, Attendant Care Provider | – | – | |
| 3747P1801X | Technician, Personal Care Attendant | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 376K00000X | Nurse's Aide | – | – |
Practice location
7850 Commons Park Cir Nw # 427Concord, NC 28027-4423
Phone 704-517-4631
Mailing address
7850 Commons Park Cir Nw # 427Concord, NC 28027-4423
Phone 704-517-4631
Authorized official
Rayvette Payne
Owner
7045174631
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