Active NPI
Extraordinary Home Health Care LLC
- Home Health Aide
- Houston, TX
National Provider Identifier
1740897735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- EXTRAORDINARY HOME HEALTH CARE LLC
- Practice address
- 754 Bateswood Dr Apt 4
Houston, TX 77079-5711 - Phone
- (903) 503-5305
- Fax
- (903) 765-7741
- NPI assigned
- Sep 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roatess Reeves
- Title
- Managing Member
- Phone
- (903) 503-5130
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
754 Bateswood Dr Apt 4
Houston, TX 77079-5711
Mailing address
10505 Town and Country Way # 79254
Houston, TX 77024-2214
Phone (903) 503-5305
Other names 2
- EXTRAORDINARY HOME HEALTH CARE
- Norstrom
National Provider Directory
National Provider Directory- Tax ID family
- Extraordinary Home Health Care LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Beasley, TX
- NPI 1588555239
-
- Secured Medical Transport (VAN)
- Missouri City, TX
- NPI 1740010438
-
- Secured Medical Transport (VAN)
- Missouri City, TX
- NPI 1922836972
Locations
10505 Town and Country Way
#79254
Houston, TX 77024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721433600000",
"number": "1740897735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10505 TOWN AND COUNTRY WAY # 79254",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242214",
"telephone_number": "903-503-5305",
"fax_number": "903-765-7741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "754 BATESWOOD DR APT 4",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770795711",
"telephone_number": "903-503-5305",
"fax_number": "903-765-7741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXTRAORDINARY HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-24",
"last_updated": "2024-07-20",
"certification_date": "2024-07-20",
"status": "A",
"authorized_official_last_name": "REEVES",
"authorized_official_first_name": "ROATESS",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "903-503-5130"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EXTRAORDINARY HOME HEALTH CARE",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Norstrom",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.