Ultra Brite LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ULTRA BRITE LLC

Practice address

4531 Mossey Dr
Lithonia, GA 30038-7724

Phone

(404) 936-8418

NPI assigned

Dec 2, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Hayes

Title

Ceo

Phone

(404) 936-8418

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1023613411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 MOSSEY DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300387724",
            "telephone_number": "404-936-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 MOSSEY DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300387724",
            "telephone_number": "404-936-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA BRITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-936-8418"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• True You Wellness LLC
• Truecare Home Care Services, LLC
• Trulicare LLC
• Truresults Lab & Courier Services LLC
• Itauma Udosen, DO
• Theresa Mishael Umoja, RN
• United Health Care Resource Service LLC
• Kenneth Unuovurhaye, RN
• Bryan Upshaw
• Jasmine Upshaw

• Clinic/Center in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.