EXTENDEDLIVING HEALTHCARE LLC
NPI 1033004171
In Home Supportive Care in Cumming, GA

Q: What is Extendedliving Healthcare LLC's NPI number?

The NPI number for Extendedliving Healthcare LLC is 1033004171. It was assigned to this organization in the NPPES registry on June 10, 2025. The provider is doing business as Extendedliving Healthcare.

Q: What is Extendedliving Healthcare LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since June 10, 2025

4890 REVERE WAY, CUMMING, GA 30028(404) 552-0495 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Extendedliving Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXTENDEDLIVING HEALTHCARE LLC (NPI 1033004171), doing business as Extendedliving Healthcare, is a healthcare organization registered as an in home supportive care in Cumming, Georgia and active in the NPI registry since June 2025. The organization lists Olusegun Rodriguez, Owner, as its authorized official.

NPPES Registry Identity

NPI1033004171

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameEXTENDEDLIVING HEALTHCARE LLC

Location Address4890 REVERE WAYCumming, GA 30028-6535

Mailing Address4890 Revere WayCumming, GA 30028-6535

Phone(404) 552-0495

Organization SubpartNo

Authorized OfficialOlusegun RodriguezOwner · (404) 552-0495

Enumeration DateJune 10, 2025

NPPES CertifiedJune 10, 2025

✔ NPI 1033004171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Also ListedHome HealthTaxonomy 251E00000X

4890 REVERE WAY, Cumming, GA 30028

Open in Google Maps ↗

Other Names 1

Doing Business AsExtendedliving Healthcare

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Extendedliving Healthcare LLC's NPI number?

The NPI number for Extendedliving Healthcare LLC is 1033004171. It was assigned to this organization in the NPPES registry on June 10, 2025. The provider is doing business as Extendedliving Healthcare.

Where is Extendedliving Healthcare LLC located?

Extendedliving Healthcare LLC is located at 4890 Revere Way, Cumming, GA 30028. The listed phone number is (404) 552-0495.

What is Extendedliving Healthcare LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Extendedliving Healthcare LLC was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.