Provider Demographics
NPI:1396023123
Name:EXTREME QUALITY HOME HEALTH CARE CORP
Entity type:Organization
Organization Name:EXTREME QUALITY HOME HEALTH CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HARI
Authorized Official - Middle Name:SHANTHAN
Authorized Official - Last Name:NAGI REDDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-652-1584
Mailing Address - Street 1:12995 S CLEVELAND AVE STE 232
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-3809
Mailing Address - Country:US
Mailing Address - Phone:239-288-4951
Mailing Address - Fax:239-288-4961
Practice Address - Street 1:12995 S CLEVELAND AVE STE 232
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3809
Practice Address - Country:US
Practice Address - Phone:239-288-4951
Practice Address - Fax:239-288-4961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-27
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health