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Extraordinary Living Gp

Extraordinary Living Gp is a healthcare organization registered as Adult Care Home Facility in Perris, CA, holding Type 2 (organization) NPI 1073312005 since 2025. The authorized official on file is Jacquiece Parker, Administrator.

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NPI 1073312005
Entity type Organization (Type 2)
Legal business name Extraordinary Living Gp
Practice address 4372 ALMATERRA DR, Perris, CA, 92571
Phone 5628976041
Enumeration date 2025-03-11
Last updated in NPPES 2025-03-11

Authorized official

Name Jacquiece Parker
Title Administrator
Phone 5628976041

Taxonomy & classification

Taxonomy code Specialty Primary License State
311ZA0620X Adult Care Home Facility Primary
Copy-ready billing details
Provider: Extraordinary Living Gp
NPI: 1073312005
Taxonomy: 311ZA0620X (Adult Care Home Facility)
Address: 4372 ALMATERRA DR, Perris, CA, 92571

Providers at this address

NPI Name Type Specialty Location
1215645833 Xtraordinary Spot Organization Behavior Analyst Perris, CA

Verify this record

Cross-check NPI 1073312005 against the authoritative CMS record: view Extraordinary Living Gp on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-03-11. Verify at npiregistry.cms.hhs.gov.
Where is Extraordinary Living Gp located?
The practice location on file with NPPES is in Perris, CA.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-03-11.