# EXTRA HAND IN-HOME CARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083134738
- **Authorized official:** MR. HARRY ELLIS GAINES (PRESIDENT/ MANAGING MEMBER)
- **Authorized official phone:** (909) 360-2223

## Contact information

- **Practice address:** 8439 WHITE OAK AVE STE 104, RANCHO CUCAMONGA, CA 91730-3860
- **Practice address phone:** (909) 360-2223
- **Practice address fax:** (909) 360-2293
- **Mailing address:** 8439 WHITE OAK AVE STE 104, RANCHO CUCAMONGA, CA 91730-3860
- **Mailing address phone:** (909) 360-2223
- **Mailing address fax:** (909) 360-2293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | 364700044 | CA | Yes |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |
| 376K00000X | Nurse's Aide | — | NULL | — |
| 376K00000X | Nurse's Aide | — | — | — |
| 385HR2050X | Respite Care Camp | — | NULL | — |

## Other

- **Enumeration date:** 06/23/2017
- **Last updated:** 02/01/2023