Organization Active NPI

Extraordinary Nurses LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1851156053
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EXTRAORDINARY NURSES LLC
Practice address
9165 Otis Ave
Indianapolis, IN 46216-2306
Phone
(317) 943-1661
NPI assigned
Feb 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Mrs. Frances Samuels
Title
Ceo
Phone
(317) 523-4044

Specialties & licenses 1

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

Addresses

Primary practice location

9165 Otis Ave
Indianapolis, IN 46216-2306

Mailing address

4104 Congaree Dr
Indianapolis, IN 46235-8814
Phone (317) 523-4044

Other names 1

  • Extraordinary Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

9165 Otis Ave
Indianapolis, IN 46216
Phone (317) 500-4314

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1851156053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 CONGAREE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462358814",
            "telephone_number": "317-523-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9165 OTIS AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162306",
            "telephone_number": "317-943-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRAORDINARY NURSES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-523-4044",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extraordinary Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.