OrganizationActive
Extendedliving Healthcare LLC
NPI 1033004171 · In Home Supportive Care Agency · Cumming, GA
Extendedliving Healthcare LLC is a In Home Supportive Care Agency organization in Cumming, GA (NPI 1033004171).
Provider details
- NPI number
- 1033004171
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Olusegun Rodriguez, Owner(404) 552-0495
Specialties & taxonomies
Agencies
- Home Health Agency251E00000X
Agencies
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4890 Revere Way
Cumming, GA 30028-6535
Phone: (404) 552-0495
Street-level locationGet directions
Mailing address
4890 Revere Way
Cumming, GA 30028-6535
Other names (DBA / former)
- Doing business as
- Extendedliving Healthcare
Registry dates
- Enumerated
- 2025-06-10
- Last updated
- 2025-06-10
- Certified
- 2025-06-10
Frequently asked questions
- What is Extendedliving Healthcare LLC's NPI number?
- Extendedliving Healthcare LLC's National Provider Identifier (NPI) is 1033004171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Extendedliving Healthcare LLC?
- Extendedliving Healthcare LLC is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Extendedliving Healthcare LLC located?
- Extendedliving Healthcare LLC's practice location on file with NPPES is 4890 Revere Way, Cumming, GA 30028-6535.
- What is Extendedliving Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Extendedliving Healthcare LLC is (404) 552-0495.
- Who is the authorized official for Extendedliving Healthcare LLC?
- The authorized official listed on Extendedliving Healthcare LLC's NPPES record is Olusegun Rodriguez, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Extendedliving Healthcare LLC's NPI active?
- Yes — Extendedliving Healthcare LLC's NPI (1033004171) is active in the NPPES registry as of the last update on 2025-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.