Active NPI
Ultimate Care Healthcare LLC
- Home Health Agency
- Riverdale, GA
National Provider Identifier
1124897236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.