# EXTENDED HANDS SENIOR CARE LLC

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

## Provider details

- **NPI number:** 1639029580
- **Authorized official:** AL BERRY (MANAGER)
- **Authorized official phone:** (469) 915-4211

## Contact information

- **Practice address:** 2501 CLOVERMEADOW DR, FORT WORTH, TX 76123-1171
- **Practice address phone:** (469) 915-4211
- **Mailing address:** 3425 SYCAMORE SCHOOL RD STE 101, FORT WORTH, TX 76123-3030
- **Mailing address phone:** (469) 915-4211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2026
- **Last updated:** 10/05/2026