Organization Active NPI

Ulticare Home Health Agency Inc.

  • Home Health Agency
  • Bristow, VA
National Provider Identifier
1063827996
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ULTICARE HOME HEALTH AGENCY INC.
Practice address
9215 Glen Meadow LN
Bristow, VA 20136-3109
Phone
(703) 753-5815
NPI assigned
Jun 30, 2014
Last updated
Jun 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Robson Nyereyemhuka
Title
Chief Financial Officer
Phone
(571) 332-5066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X VA Primary

Addresses

Primary practice location

9215 Glen Meadow LN
Bristow, VA 20136-3109

Mailing address

9215 Glen Meadow LN
Bristow, VA 20136-3109
Phone (703) 753-5815

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1063827996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9215 GLEN MEADOW LN",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201363109",
            "telephone_number": "703-753-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9215 GLEN MEADOW LN",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201363109",
            "telephone_number": "703-753-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTICARE HOME HEALTH AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "NYEREYEMHUKA",
        "authorized_official_first_name": "ROBSON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "571-332-5066"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristow, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.