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EXTRAORDINARY LIVING GP
NPI 1073312005
Custodial Care Facility - Adult Care Home in Perris, CA

Active since March 11, 2025
4372 ALMATERRA DR, PERRIS, CA 92571(562) 897-6041 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Extraordinary Living Gp NPPES

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

EXTRAORDINARY LIVING GP (NPI 1073312005) is a healthcare organization registered as an adult care home in Perris, California and active in the NPI registry since March 2025. The organization lists Jacquiece Parker, Administrator, as its authorized official.

NPPES Registry Identity

NPI1073312005
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameEXTRAORDINARY LIVING GP
Location Address4372 ALMATERRA DRPerris, CA 92571-5112
Mailing Address4372 Almaterra DrPerris, CA 92571-5112 · (562) 897-6041
Phone(562) 897-6041
Organization SubpartNo
Authorized OfficialJacquiece ParkerAdministrator · (562) 897-6041
Enumeration DateMarch 11, 2025
NPPES CertifiedMarch 11, 2025
✔ NPI 1073312005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
4372 ALMATERRA DR, Perris, CA 92571
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

XTRAORDINARY SPOT
Behavior Analyst
4372 ALMATERRA DR
PERRIS, CA 92571
Riverside County (562) 235-7456

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 Extraordinary Living Gp's NPI number?

The NPI number for Extraordinary Living Gp is 1073312005. It was assigned to this organization in the NPPES registry on March 11, 2025.

Where is Extraordinary Living Gp located?

Extraordinary Living Gp is located at 4372 Almaterra Dr, Perris, CA 92571. The listed phone number is (562) 897-6041.

What is Extraordinary Living Gp's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Extraordinary Living Gp was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.