Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EXTRAORDINARY CARE HOME LLC
NPI 1801715826
Assisted Living Facility - Assisted Living, Mental Illness in Holmen, WI

Q: What is Extraordinary Care Home LLC's NPI number?

The NPI number for Extraordinary Care Home LLC is 1801715826. It was assigned to this organization in the NPPES registry on July 13, 2026.

Q: What is Extraordinary Care Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since July 13, 2026

2020 CROOKED AVE, HOLMEN, WI 54636(507) 202-1707 Get Directions Write a Review

NPPES record added: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Extraordinary Care Home Llc NPPES

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

EXTRAORDINARY CARE HOME LLC (NPI 1801715826) is a healthcare organization registered as an assisted living, mental illness in Holmen, Wisconsin and active in the NPI registry since July 2026. The organization lists Libin Mohamed Jimale, Owner, as its authorized official.

NPPES Registry Identity

NPI1801715826

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameEXTRAORDINARY CARE HOME LLC

Location Address2020 CROOKED AVEHolmen, WI 54636-8632

Mailing Address2020 Crooked AveHolmen, WI 54636-8632 · (507) 202-1707

Phone(507) 202-1707

Organization SubpartNo

Authorized OfficialLibin Mohamed JimaleOwner · (507) 202-1707

Enumeration DateJuly 13, 2026

NPPES CertifiedJuly 14, 2026

✔ NPI 1801715826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

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.

2020 CROOKED AVE, Holmen, WI 54636

Open in Google Maps ↗

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 Care Home LLC's NPI number?

The NPI number for Extraordinary Care Home LLC is 1801715826. It was assigned to this organization in the NPPES registry on July 13, 2026.

Where is Extraordinary Care Home LLC located?

Extraordinary Care Home LLC is located at 2020 Crooked Ave, Holmen, WI 54636. The listed phone number is (507) 202-1707.

What is Extraordinary Care Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Extraordinary Care Home LLC was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.