Healthcare Provider Details

I. General information

NPI: 1437776671
Provider Name (Legal Business Name): MY EXTENDED FAMILY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2020
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5251 GOLDEN GATE PKWY STE D
NAPLES FL
34116-7600
US

IV. Provider business mailing address

5251 GOLDEN GATE PKWY STE D
NAPLES FL
34116-7600
US

V. Phone/Fax

Practice location:
  • Phone: 239-285-3990
  • Fax: 800-881-4548
Mailing address:
  • Phone: 239-285-3990
  • Fax: 800-881-4548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BONIA BAPTISTE
Title or Position: OWNER/CEO
Credential:
Phone: 239-784-0132