EXTRAORDINARY HOMECARE LLC
NPI 1659939486
Home Health in Evans, GA

Active since June 05, 2019
1116 WINDWOOD ST, EVANS, GA 30809(706) 814-5712 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 19, 2021, Jun 5, 2019 (2 updates tracked since 2019).

About Extraordinary Homecare Llc NPPES

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

EXTRAORDINARY HOMECARE LLC (NPI 1659939486) is a healthcare organization registered as a home health in Evans, Georgia and active in the NPI registry since June 2019. The organization maintains a secondary practice location in Augusta and lists Theresa Price, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659939486
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameEXTRAORDINARY HOMECARE LLC
Location Address1116 WINDWOOD STEvans, GA 30809-7452
Mailing Address2801 Washington Rd Ste 107-174Augusta, GA 30909-2355 · (864) 651-8664
Organization SubpartNo
Authorized OfficialTheresa PriceCeo · (706) 814-5712
Enumeration DateJune 5, 2019
Last NPPES UpdateFebruary 19, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2021
NPI 1659939486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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 organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedPrivate VehicleTaxonomy 347C00000X
Also ListedHome Health AideTaxonomy 374U00000X
Also ListedRespite CareTaxonomy 385H00000X
1116 WINDWOOD ST, Evans, GA 30809

Secondary Practice Location 1

Location 1410 Brookside CtAugusta, GA 30904-3504 · Phone (864) 651-8664

Other Identifiers 1

Other16599399486GA · Private Home Care Provider

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 Homecare LLC's NPI number?

The NPI number for Extraordinary Homecare LLC is 1659939486. It was assigned to this organization in the NPPES registry on June 5, 2019.

Where is Extraordinary Homecare LLC located?

Extraordinary Homecare LLC is located at 1116 Windwood St, Evans, GA 30809. The listed phone number is (706) 814-5712.

What is Extraordinary Homecare LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Extraordinary Homecare LLC was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.