Extended Hands Senior Care LLC
NPI 1639029580ActiveOrganization· Nurse Practitioner, Gerontology· Fort Worth, TX
Nurse Practitioner, Gerontology in Fort Worth, Texas, registered in NPPES in January 2026. The authorized official on file is Al Berry, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639029580 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2026 |
| Last updated in NPPES | Oct 5, 2026 |
| Certified by provider | Oct 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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