OrganizationActive
Extended Home Care, Inc.
NPI 1861474900 · In Home Supportive Care Agency · Hayti, MO
Provider details
- NPI number
- 1861474900
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Debra Clark, Ceo/Secretary of the Board(573) 359-5546
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 Russell St
Hayti, MO 63851-1300
Phone: (573) 359-2930
Fax: (573) 359-1304
Street-level locationGet directions
Mailing address
105 Russell St
Hayti, MO 63851-1300
Registry dates
- Enumerated
- 2005-11-15
- Last updated
- 2021-11-12
- Certified
- 2021-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.