# EXTREME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528824463
- **Authorized official:** MICHELLE HAGGINS (CEO/PRESIDENT)
- **Authorized official phone:** (765) 278-8756

## Contact information

- **Practice address:** 1141 E GLENDALE AVE \# 1091, PHOENIX, AZ 85020-5316
- **Practice address phone:** (941) 336-3348
- **Practice address fax:** (480) 916-1886
- **Mailing address:** 1141 E GLENDALE AVE \# 1091, PHOENIX, AZ 85020-5316
- **Mailing address phone:** (941) 336-3348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 02/27/2024
- **Last updated:** 05/24/2024