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EXTRAORDINARY HOLDINGS CORP. NPI 1417539370


NPI Information

NPI: 1417539370
Provider Name: EXTRAORDINARY HOLDINGS CORP.

Doing Business As: EXTRAORDINARY HOLDINGS CORP

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
4501 CERRITOS AVE STE 203
CYPRESS, CA
ZIP 90630
Phone: (562) 900-7845
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EXTRAORDINARY HOLDINGS CORP. is an in home supportive care in Cypress, CA. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. EXTRAORDINARY HOLDINGS CORP. NPI is 1417539370. The provider is registered as an organization entity type.
The provider Is Doing Business As Extraordinary Holdings Corp.

The provider's business location address is:

4501 CERRITOS AVE STE 203
CYPRESS, CA
ZIP 90630-215
Phone: (562) 900-7845

The provider's authorized official is Steven Duane Nickens .
The authorized official title is Ceo and has the following contact phone number (562) 900-7845.

The enumeration date for this NPI number is 4/21/2021 and was last updated on 8/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1194700756OTHERCALIFORNIAHEALTH CARE ORGANIZATION LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.