OrganizationActive
Extraordinary Living Gp
NPI 1073312005 · Adult Care Home Facility · Perris, CA
Extraordinary Living Gp is a Adult Care Home Facility organization in Perris, CA (NPI 1073312005).
Provider details
- NPI number
- 1073312005
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jacquiece Parker, Administrator(562) 897-6041
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(55/100 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
4372 Almaterra Dr
Perris, CA 92571-5112
Phone: (562) 897-6041
Street-level locationGet directions
Mailing address
4372 Almaterra Dr
Perris, CA 92571-5112
Registry dates
- Enumerated
- 2025-03-11
- Last updated
- 2025-03-11
- Certified
- 2025-03-11
Frequently asked questions
- What is Extraordinary Living Gp's NPI number?
- Extraordinary Living Gp's National Provider Identifier (NPI) is 1073312005, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Extraordinary Living Gp?
- Extraordinary Living Gp is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Extraordinary Living Gp located?
- Extraordinary Living Gp's practice location on file with NPPES is 4372 Almaterra Dr, Perris, CA 92571-5112.
- What is Extraordinary Living Gp's phone number?
- The practice phone number listed in the NPPES registry for Extraordinary Living Gp is (562) 897-6041.
- Who is the authorized official for Extraordinary Living Gp?
- The authorized official listed on Extraordinary Living Gp's NPPES record is Jacquiece Parker, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Extraordinary Living Gp's NPI active?
- Yes — Extraordinary Living Gp's NPI (1073312005) is active in the NPPES registry as of the last update on 2025-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.