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EXTRAORDINARY CHANGES LLC
NPI 1841965696
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Chesapeake, VA

Active since August 13, 2021
413 B ST, CHESAPEAKE, VA 23324(757) 735-5413 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Extraordinary Changes Llc NPPES

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

EXTRAORDINARY CHANGES LLC (NPI 1841965696) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Chesapeake, Virginia and active in the NPI registry since August 2021. The organization lists Devon Cook, Ceo, as its authorized official.

NPPES Registry Identity

NPI1841965696
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameEXTRAORDINARY CHANGES LLC
Location Address413 B STChesapeake, VA 23324-2515
Mailing Address413 B StChesapeake, VA 23324-2515 · (757) 735-5413
Phone(757) 735-5413
Organization SubpartNo
Authorized OfficialDevon CookCeo · (804) 855-9137
Enumeration DateAugust 13, 2021
NPPES CertifiedAugust 3, 2021
✔ NPI 1841965696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
413 B ST, Chesapeake, VA 23324
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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 Changes LLC's NPI number?

The NPI number for Extraordinary Changes LLC is 1841965696. It was assigned to this organization in the NPPES registry on August 13, 2021.

Where is Extraordinary Changes LLC located?

Extraordinary Changes LLC is located at 413 B St, Chesapeake, VA 23324. The listed phone number is (757) 735-5413.

What is Extraordinary Changes LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Extraordinary Changes LLC was last updated on August 13, 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.