Xtreme Solutions Home Care LLC

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Legal business name

XTREME SOLUTIONS HOME CARE LLC

Practice address

600 Columbia Ave Ste 8
Lexington, SC 29072-2658

Phone

(803) 807-1888

NPI assigned

Feb 24, 2022

Organization subpart

No

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

Authorized official

Name

Raven T Brown

Title

Owner

Phone

(803) 807-1888

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1760138002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 COLUMBIA AVE STE 8",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722658",
            "telephone_number": "803-807-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COLUMBIA AVE STE 8",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722658",
            "telephone_number": "803-807-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTREME SOLUTIONS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RAVEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-807-1888"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zada K Wooten, MOT
• Troy Workman, CAC I
• Anna Wright
• Kameka Legree Wright, FNP
• Dokota Boston Wynn, OTR/L
• Joel Duane Yates II, RPH., B.S.
• Laura W Yates, MA CCC-SLP
• Lionel Yates, CNA
• Heather Yeh, CPNP
• Jean Yelton

• Nurse's Aide in Lexington, SC
• Providers in Lexington, SC by specialty
• Nurse's Aide in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.