Organization Active NPI

Extraordinary Home Care LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1104648963
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EXTRAORDINARY HOME CARE LLC
Practice address
219 Greenwich Rd
Charlotte, NC 28211-2315
Phone
(704) 879-2394
Fax
(704) 220-2381
NPI assigned
Oct 31, 2024
Organization subpart
Yes
Parent organization
BEST FUTURE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kenneth J Fleming
Title
Administrator
Phone
(704) 879-2394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

219 Greenwich Rd
Charlotte, NC 28211-2315

Mailing address

219 Greenwich Rd
Charlotte, NC 28211-2315
Phone (704) 879-2394

Other names 1

  • FirstLight Home Care of Greater Charlotte LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Best Future Inc

Locations

219 Greenwich Rd
Charlotte, NC 28211
Phone (704) 879-2394

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1104648963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 GREENWICH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112315",
            "telephone_number": "704-879-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 GREENWICH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112315",
            "telephone_number": "704-879-2394",
            "fax_number": "704-220-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRAORDINARY HOME CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEST FUTURE INC.",
        "enumeration_date": "2024-10-31",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-879-2394",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight Home Care of Greater Charlotte LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.