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Organization
EXTENDED CARE SPECIALISTS, INC
Active
Organization
EXTENDED CARE SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RUCCI MD (OWNER)
(855) 743-2247
Entity
Organization
Contact information
Practice address
8398 MISSISSIPPI ST FL 2, MERRILLVILLE, IN 46410-6316
(855) 743-2247
(260) 483-9196
Mailing address
PO BOX 1431, DEPT 400, CHARLOTTE, NC 28201-1431
(877) 504-2049
(260) 483-9196
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/16/2006
Last updated
08/12/2026
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