Xtraordinary Health Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

XTRAORDINARY HEALTH HOME CARE LLC

Practice address

3521 State St Unit 4
Saginaw, MI 48602-3267

Phone

(989) 280-6815

NPI assigned

Jan 6, 2025

Organization subpart

No

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

Authorized official

Name

Shaniqua Sha'NA Long, LPNNPI 1609429430

Title

Ceo

Phone

(989) 280-6815

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaniqua Long, LPN

  • Licensed Practical Nurse
  • Flint, MI
  • NPI 1609429430
  NPD Authorized official

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1326857210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 STATE ST UNIT 4",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 STATE ST UNIT 4",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023267",
            "telephone_number": "989-280-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTRAORDINARY HEALTH HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-05",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "SHANIQUA",
        "authorized_official_middle_name": "SHA'NA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-280-6815",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edha Wuescher
• Sandra Leigh Wuobio, MA. LPC, CAADC
• Kathryn Wurdock, MA CCC-SLP
• Estee Glendora Wynn
• Jerry Xavier
• Kristin Kelly Yackel-Friend, PT
• Sydney Kade Yahn
• Whitney Yahn, D.D.S.
• Audrey Catherine Yaklin
• Brielle Yaklin

• Home Health Agency in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.