EXTRAORDINARY HOMECARE LLC (NPI# 1659939486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659939486 |
| Entity Type | Organization |
| Organization Name | EXTRAORDINARY HOMECARE LLC |
| Practice Address |
410 Brookside Ct Augusta GA 30904-3504 |
| Mailing Address |
2801 Washington Rd Ste 107-174 Augusta GA 30909-2355 |
| Practice Telephone | 8646518664 |
| Mailing Telephone | 8646518664 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| Authorized Official Name | THERESA PRICE (CEO) |
| Authorized Official Telephone | 7068145712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
410 BROOKSIDE CT |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417568866 | Guardian Angels Care LLC | Home Health | 601 Broad St Ste 5, Augusta, GA 30901-1467 | 2020-08-10 |
| 1730704396 | Community Access & Inclusion Foundation Inc | Home Health | 2320 Neal St, Augusta, GA 30906-3082 | 2020-06-10 |
| 1407498694 | Kennebec Home Care LLC | Home Health | 69 Sewall St, Augusta, ME 04330-6378 | 2019-10-09 |
| 1154895860 | Serenity Health Care Services | Home Health | 601 Broad St Ste 1a, Augusta, GA 30901-7400 | 2019-01-15 |
| 1386183952 | Heavenly Creations In Home Care, LLC | Home Health | 1615 Apple Valley Dr, Augusta, GA 30906-3859 | 2017-02-16 |
| 1669920005 | Tidewater Hospice Augusta LLC | Home Health | 206 Pitcarin Way, Suite B, Augusta, GA 30909-5766 | 2016-09-14 |
| 1578922498 | All In Faith Healthcare Services LLC | Home Health | 731 Hopkins St, Augusta, GA 30901-3041 | 2016-02-19 |
| 1174991038 | Augusta Home Care Services, LLC | Home Health | 1212 Augusta West Pkwy Ste 2a, Augusta, GA 30909 | 2015-09-09 |
| 1144648791 | Excel Care Christian Personal Care Services | Home Health | 203b Park Street, Augusta, KY 41002 | 2014-04-01 |
| 1538401245 | Caresouth Hha Holdings of Washington, LLC | Home Health | 231 Furys Ferry Rd, Suite 212, Augusta, GA 30907-4728 | 2013-03-20 |
| Find all providers in AUGUSTA | ||||
Please comment or provide details below to improve the information on EXTRAORDINARY HOMECARE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.