Organization
EXTENTION OF LIFE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYVETTE PAYNE CMA,CNA,PHLEBOTOMIST (OWNER)
(704) 517-4631
Entity
Organization
Contact information
Practice address
7850 COMMONS PARK CIR NW # 427, CONCORD, NC 28027-4423
(704) 517-4631
Mailing address
7850 COMMONS PARK CIR NW # 427, CONCORD, NC 28027-4423
(704) 517-4631
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
246RP1900X
Phlebotomy Technician
—
—
247200000X
Other Technician
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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