Organization · Type 2 NPI

Extraordinary Homecare LLC

Home Health Agency · Evans, GA

NPI number 1659939486 Active

Practice location

1116 Windwood St
Evans, GA 30809-7452

Call (706) 814-5712 Map

Mailing address

2801 Washington Rd Ste 107-174
Augusta, GA 30909-2355

Other practice locations

410 Brookside Ct, Augusta, GA 30904-3504 · (864) 651-8664

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed
In Home Supportive Care Agency	253Z00000X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Non-emergency Medical Transport (VAN)	343900000X	None listed
Private Vehicle	347C00000X	None listed
Home Health Aide	374U00000X	None listed
Respite Care	385H00000X	None listed

Home Health Agency: 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 organ…

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About NPI 1659939486

Extraordinary Homecare LLC's National Provider Identifier is 1659939486, issued on Jun 5, 2019. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Evans, GA. The record was last updated on Feb 19, 2021.