Organization Active NPI

Ultimate Care Healthcare LLC

  • Home Health Agency
  • Riverdale, GA
National Provider Identifier
1124897236
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ULTIMATE CARE HEALTHCARE LLC
Practice address
7979 Clearview Cir
Riverdale, GA 30296-3387
Phone
(678) 898-2057
NPI assigned
Dec 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Donovan Harden
Title
Ownner
Phone
(909) 816-3567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7979 Clearview Cir
Riverdale, GA 30296-3387

Mailing address

7979 Clearview Cir
Riverdale, GA 30296-3387

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1124897236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7979 CLEARVIEW CIR",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302963387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7979 CLEARVIEW CIR",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302963387",
            "telephone_number": "678-898-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE CARE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "HARDEN",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "OWNNER",
        "authorized_official_telephone_number": "909-816-3567"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.