EXTRAORDINARY HOME HEALTH CARE LLC (NPI# 1740897735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740897735 |
| Entity Type | Organization |
| Organization Name | EXTRAORDINARY HOME HEALTH CARE LLC |
| Practice Address |
754 Bateswood Dr Apt 4 Houston TX 77079-5711 |
| Mailing Address |
10505 Town and Country Way # 79254 Houston TX 77024-2214 |
| Practice Telephone | 9035035305 |
| Practice Fax Number | 9037657741 |
| Mailing Telephone | 9035035305 |
| Mailing Fax Number | 9037657741 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | ROATESS REEVES (MANAGING MEMBER) |
| Authorized Official Telephone | 9035035130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| EXTRAORDINARY HOME HEALTH CARE | Other Name - Individual/Organization |
| Norstrom | Other Name - Individual/Organization |
| Street Address |
754 BATESWOOD DR APT 4 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77079-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213542 | Apg Ancillaries LLC | Durable Medical Equipment & Medical Supplies | 14811 Saint Marys Ln Ste 152, Houston, TX 77079 | 2020-07-29 |
| 1982244174 | Agatha Nwosu | Registered Nurse | 1155 Dairy Ashford Rd Suite 560, Houston, TX 77079 | 2020-01-15 |
| 1164924650 | Victoria Okon | Licensed Vocational Nurse | 14461 Still Meadow Dr., Houston, TX 77079 | 2018-03-01 |
| 1649711623 | Deon Flenoy | Case Manager/Care Coordinator | 14027 Memorial Dr # 419, Houston, TX 77079 | 2017-03-10 |
| 1396298428 | Supriya Krishnan | Optometrist | 14634 Memorial Dr, Houston, TX 77079 | 2016-07-25 |
| 1942670401 | Medfast Pediatric & Family Clinic | Nurse Practitioner | 14520 Old Katy Rd, St 109, Houston, TX 77079 | 2015-09-28 |
| 1558742106 | Evan Christopher Adams | Dentist | 909 Dairy Ashford Rd Ste 104, Houston, TX 77079 | 2015-06-09 |
| 1114313152 | Yun Li | Internal Medicine | 13140 Trail Hollow Dr, Houston, TX 77079 | 2015-04-07 |
| 1629460308 | Michelle Maligaya | Registered Nurse | 1201 N Dairy Ashford Rd Ste 100, Houston, TX 77079 | 2015-03-04 |
| 1144611989 | Ryan M Keutzer | Hearing Instrument Specialist | 12900 Queensbury Ln #100, Houston, TX 77079 | 2015-02-16 |
| Find all providers in zip 77079 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333086 | Laquanda Cohen | Home Health Aide | 12655 Kuykendahl Rd Apt 5205, Houston, TX 77090-6937 | 2020-10-13 |
| 1023615218 | Temitope Idowu | Home Health Aide | 4411 Garden Ridge Ct, Houston, TX 77084-7393 | 2020-10-01 |
| 1578175816 | Melissa Ann Zepeda | Home Health Aide | 4610 Allison Rd Trlr 312, Houston, TX 77048-4651 | 2020-08-18 |
| 1215550884 | Melissa Mesa | Home Health Aide | 7238 Fauna St, Houston, TX 77061-3903 | 2020-05-18 |
| 1356977698 | Anja Alam | Home Health Aide | 1359 Hugh Rd, Houston, TX 77067-1503 | 2020-03-18 |
| 1124668678 | Tiffany Scott | Home Health Aide | 440 Benmar Dr Ste 1395, Houston, TX 77060-3172 | 2020-01-13 |
| 1902445356 | Quintina Etasha Anderson | Home Health Aide | 14222 Wunderlich Dr Apt 904, Houston, TX 77069-3443 | 2020-01-02 |
| 1760027783 | Omobola Patricia Olorunsiwa | Home Health Aide | 6403 Sierra Blanca Dr Apt 502, Houston, TX 77083-1530 | 2019-11-13 |
| 1942850904 | Keyaira Christian Siler | Home Health Aide | 13100 Stonefield Dr Apt 608, Houston, TX 77014-3302 | 2019-09-12 |
| 1497301212 | Above Abilities Healthcare (aah) LLC | Home Health Aide | 3802 Westheimer Place Dr, Houston, TX 77082-1225 | 2019-08-16 |
| Find all providers in HOUSTON | ||||
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| 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.