MEDICARE: EXXTRA HANDS WHY SURE WE CAN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1811794100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXXTRA HANDS WHY SURE WE CAN LLC

Provider Business Mailing Address
First Line	:	2460 N CASA NUEVA CIR
Second Line	:
City	:	CASA GRANDE
State	:	AZ
Zip	:	85122-1113
Country	:	US
Telephone Number	:	520-252-7515
Fax Number	:

Provider Business Practice Location Address
First Line	:	2460 N CASA NUEVA CIR
Second Line	:
City	:	CASA GRANDE
State	:	AZ
Zip	:	85122-1113
Country	:	US
Telephone Number	:	520-252-7515
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LASHON DENISE JOHNSON
Credential	:
Telephone Number	:	520-252-7515

Provider Enumeration Date	:	02/25/2025
Last Update Date	:	02/25/2025

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