EXTRAORDINARY HOME CARE – NPI #1962728071
Home Health

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

EXTRAORDINARY HOME CARE is a home health agency located in UNIONDALE, NY. NPPES has assigned the NPI number 1962728071 to EXTRAORDINARY HOME CARE on April 14, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 251E00000X from the Health Care Provider Taxonomy code set, which is classified as Home Health.

The NPI profile was last updated on Jan 06, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXTRAORDINARY HOME CARE below.

NPI Profile for
EXTRAORDINARY HOME CARE

NPI Number
1962728071
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EXTRAORDINARY HOME CARE
Primary location
333 EARLE OVINGTON BLVD STE 600
UNIONDALE, NY 11553-3622
Phone: (718) 281-8600 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FREDERIQUE ALTIDOR
MANAGER
Phone: (718) 281-8688
Updated
Certification Date
Jan 06, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
251E00000X
- Home Health (Primary)
NY

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.