Extraordinary Private Homecare Services Llc.

LBN: Extraordinary Private Homecare Services Llc.
Extraordinary Private Homecare Services Llc. is an health care organization with primary practice located at 302 B-1 Ramsey St. , Dublin GA 31021. The organization recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Suppliers / Durable Medical Equipment & Medical Supplies, Respite Care Facility / Respite Care. Agencies / Home Health is the primary health care specialty. Extraordinary Private Homecare Services Llc. can be contacted via phone (478) 274-8787, or through Isaac, Theresa Bronchell via phone (478) 274-8787.

Contact Information

Primary practice address
302 B-1 Ramsey St. Dublin GA 31021
Fax: (877) 271-3257
Website:
Authorized official contact:
Name: Isaac, Theresa Bronchell

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 087R0792 Georgia
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 087-R-0792 Georgia
Respite Care Facility / Respite Care 385H00000X 087-R-0792 Georgia

Profile Details

NPI number 1891063947
LBN Legal business name Extraordinary Private Homecare Services Llc.
DBA Doing business as
Authorized official Isaac, Theresa Bronchell
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2011
Last updated Mar 5th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891063947 NPPES
Georgia MEDICAID 1891063947

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