Provider Demographics
NPI:1700248226
Name:XTRAORDINARY PEOPLE INC.
Entity Type:Organization
Organization Name:XTRAORDINARY PEOPLE INC.
Other - Org Name:XTRAORDINARY PEOPLE INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANNIKA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BEASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-345-8896
Mailing Address - Street 1:404 GLENNWOOD RD SW
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-3932
Mailing Address - Country:US
Mailing Address - Phone:256-345-8896
Mailing Address - Fax:
Practice Address - Street 1:404 GLENNWOOD RD SW
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-3932
Practice Address - Country:US
Practice Address - Phone:256-345-8896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-23
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities