Extraordinary Homecare Llc
Home Health
1116 Windwood St, Evans
Georgia, 30809-7452
706-814-5712 Extraordinary Homecare Llc is a Home Health in Evans, Georgia. It is located at 1116 Windwood St, Evans and it's customer support contact number is 706-814-5712. The authorized person of Extraordinary Homecare Llc is Theresa Price who is Ceo of this DME and his contact number is 706-814-5712.
Extraordinary Homecare Llc is 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.
DME Supplier Details:
Extraordinary Homecare Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Extraordinary Homecare Llc |
| Type: | Home Health |
| Location: | 1116 Windwood St, Evans,
Georgia, 30809-7452 |
| Phone: | 706-814-5712 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Theresa Price |
| Position: | Ceo |
| Contact Number: | 706-814-5712 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1659939486 |
| NPI Enumeration Date: | 05 Jun, 2019 |
| NPI Last Update On: | 19 Feb, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Extraordinary Homecare Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Home Health | | | Primary | |
| In Home Supportive Care | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Non-emergency Medical Transport (van) | | | Secondary | |
| Private Vehicle | | | Secondary | |
| Home Health Aide | | | Secondary | |
| Respite Care | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 16599399486 | Other | Georgia | Private Home Care Provider |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2801 Washington Rd Ste 107-174,
Augusta, Georgia |
| Zip: | 30909-2355 |
| Phone Number: | 864-651-8664 |
Patients can reach Extraordinary Homecare Llc at
1116 Windwood St, Evans, Georgia or can
call on customer care at 706-814-5712.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.