EXTRAORDINARY PRIVATE HOMECARE SERVICES LLC. (NPI# 1891063947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891063947 |
| Entity Type | Organization |
| Organization Name | EXTRAORDINARY PRIVATE HOMECARE SERVICES LLC. |
| Practice Address |
302 B-1 Ramsey St. Dublin GA 31021 |
| Mailing Address |
Po Box 1553 Dublin GA 31040-1553 |
| Practice Telephone | 4782748787 |
| Practice Fax Number | 8772713257 |
| Mailing Telephone | 4782748787 |
| Mailing Fax Number | 8772713257 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2012-03-05 |
| Authorized Official Name | THERESA BRONCHELL ISAAC (OWNER) |
| Authorized Official Telephone | 4782748787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 087-R-0792 | GA | Suppliers |
| N | 385H00000X | Respite Care | 087-R-0792 | GA | Respite Care Facility |
| Y | 251E00000X | Home Health | 087R0792 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 1891063947 | 05 |
| Street Address |
302 B-1 RAMSEY ST. |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428830 | Paragon Home Care Services LLC | Home Health | 254 Spearhead Rd, Dublin, GA 31021-9044 | 2020-08-21 |
| 1144841602 | Allcare Home Health Agency LLC | Home Health | 5851 Baronscourt Way, Dublin, OH 43016-6085 | 2020-05-06 |
| 1710516430 | At Your Service Home Health Agency Inc. | Home Health | 6300 Village Pkwy Ste 200, Dublin, CA 94568-3002 | 2020-04-04 |
| 1497391783 | Southern Home Care Services, Inc. | Home Health | 1003 Bellevue Ave, Dublin, GA 31021-4851 | 2019-11-21 |
| 1205394111 | Jcl Home Care LLC | Home Health | 6321 Lido Ct, Dublin, OH 43016-8478 | 2019-03-10 |
| 1588161665 | Janice Floyd | Home Health | 819 N Church St, Dublin, GA 31021-6211 | 2018-04-06 |
| 1457858532 | Rejoice Home Care | Home Health | 118a S Jefferson St, Dublin, GA 31021-5147 | 2018-04-06 |
| 1912443227 | Hope Home Health LLC | Home Health | 6377 Clark Ave, Suite 100, Dublin, CA 94568-3025 | 2017-01-10 |
| 1851799100 | Senior In Care | Home Health | 4101 Dublin Blvd Ste F423, Dublin, CA 94568-4592 | 2014-12-18 |
| 1831594118 | Therapeutic Edge | Home Health | 3284 Atlin Ave, Dublin, OH 43017-1410 | 2014-10-28 |
| Find all providers in DUBLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.