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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Respite Care |
385H00000X |
| NPI # | 1891063947 |
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| LBN Legal business name | EXTRAORDINARY PRIVATE HOMECARE SERVICES LLC. | ||||||||||||
| Authorized official | THERESA ISAAC - (OWNER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 12/05/2011 | ||||||||||||
| Last updated | 03/05/2012 - About 14 years ago | ||||||||||||
| Identifiers |
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