Extraordinary Homecare Llc

LBN: Extraordinary Homecare Llc
Extraordinary Homecare Llc is an health care organization with primary practice located at 1116 Windwood St , Evans GA 30809-7452. The organization recently has 7 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care, Suppliers / Durable Medical Equipment & Medical Supplies, Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Private Vehicle, Nursing Service Related Providers / Home Health Aide, Respite Care Facility / Respite Care. Agencies / Home Health is the primary health care specialty. Extraordinary Homecare Llc can be contacted via phone (706) 814-5712, or through Price, Theresa via phone (706) 814-5712.

Contact Information

Primary practice address
1116 Windwood St Evans GA 30809-7452
Phone: (706) 814-5712
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Price, Theresa
Phone: (706) 814-5712

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Transportation Services / Private Vehicle 347C00000X
Nursing Service Related Providers / Home Health Aide 374U00000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1659939486
LBN Legal business name Extraordinary Homecare Llc
DBA Doing business as
Authorized official Price, Theresa
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2019
Last updated Feb 19th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659939486 NPPES
Georgia Other 16599399486 PRIVATE HOME CARE PROVIDER

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