Extraordinary, Personalized in Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

IHCP-0563 Issued in SC

Legal business name

EXTRAORDINARY, PERSONALIZED IN HOME CARE

Practice address

21 Love Valley CT
Chapin, SC 29036-8591

Phone

(803) 730-5797

NPI assigned

Nov 7, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Cindy Roberts Kellett

Title

Ceo

Phone

(803) 730-5797

Specialties & licenses 1

Addresses

Other names 1

• EPIC In Home Care Doing business as

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1578005609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LOVE VALLEY CT",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368591",
            "telephone_number": "803-730-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LOVE VALLEY CT",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368591",
            "telephone_number": "803-730-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRAORDINARY, PERSONALIZED IN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "KELLETT",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "ROBERTS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-730-5797",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "IHCP-0563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EPIC In Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gail Elmore, PH. D.
• Kastin Inez Sara Engeling, APN
• Emily Estes
• Amy Duke Eubanks, SLP
• Joseph A Evans Jr., MD
• Eye Care Associates of SC LLC
• William Campbell Falls
• Emily Vestal Faulkenberry, MS, OTR/L
• Heather L. Frederick, PT
• Terri W Frick, BS RPH

• All providers in Chapin, SC
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.