Extraordinary Homecare Llc is a Respite Care based in Augusta, GA. Extraordinary Homecare Llc practices in Evans, GA. The NPI Number for Extraordinary Homecare Llc is 1659939486 and holds a License No. (Georgia).
The current practice location address for Extraordinary Homecare Llc is 1116 Windwood St, Evans, GA and can be reached out via phone at 706-814-5712.
Location: 1116 Windwood St, Evans, GA, 30909-2355
Provider Profile Details
NPI Number
1659939486
Provider Name
Extraordinary Homecare Llc
Credential
Provider Entity Type
Organization
Address
1116 Windwood St, Evans, GA, 30909-2355
Phone Number
706-814-5712
Fax Number
Provider Enumeration Date
06/05/2019
Last Update Date
03/13/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16599399486 | 01 | GA | PRIVATE HOME CARE PROVIDER |
Provider Business Practice Location Address Details
Address
1116 Windwood St
City
State
Zip
30809-7452
Phone Number
706-814-5712
Fax Number
Provider Business Mailing Address Details
Address
1116 Windwood St
City
State
Zip
30809-7452
Phone Number
706-814-5712
Fax Number
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
()
Definition
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.
Provider's Taxonomy Details 2
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
License No.
()
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Provider's Taxonomy Details 4
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
Provider's Taxonomy Details 5
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Provider's Taxonomy Details 6
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
License No.
()
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Provider's Taxonomy Details 7
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come.
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