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Organization
EXTRAORDINARY HOME HEALTH CARE LLC
Active
Organization
EXTRAORDINARY HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROATESS REEVES LPN (ADMINISTRATOR)
(903) 503-5305
Entity
Organization
Contact information
Practice address
1203 SHADY PINES DR, BEASLEY, TX 77417-1330
(905) 503-5305
Mailing address
PO BOX 1482, MISSOURI CITY, TX 77459-8482
(905) 503-5305
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
3747A0650X
Attendant Care Provider
—
NULL
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/11/2025
Last updated
09/03/2026
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