# EXTRAORDINARY HOME HEALTH CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1588555239
- **Authorized official:** ROATESS REEVES LPN (ADMINISTRATOR)
- **Authorized official phone:** (903) 503-5305

## Contact information

- **Practice address:** 1203 SHADY PINES DR, BEASLEY, TX 77417-1330
- **Practice address phone:** (905) 503-5305
- **Mailing address:** PO BOX 1482, MISSOURI CITY, TX 77459-8482
- **Mailing address phone:** (905) 503-5305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 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