Organization · Type 2 NPI
Extraordinary Care Home LLC
Assisted Living Facility (Mental Illness) · Holmen, WI
Practice location
2020 Crooked Ave
Holmen, WI 54636-8632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Mental Illness) Primary | 3104A0625X | None listed |
Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
About NPI 1801715826
Extraordinary Care Home LLC's National Provider Identifier is 1801715826, issued on Jul 13, 2026. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Holmen, WI. The record was last updated on Jul 13, 2026.