Organization Active NPI

Ultimate Comfort Care, LLC

  • Home Health Agency
  • Lake Ridge, VA
National Provider Identifier
1174310379
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ULTIMATE COMFORT CARE, LLC
Practice address
4565 Daisy Reid Ave Ste 128J
Lake Ridge, VA 22192-5671
Phone
(540) 530-4838
Fax
(571) 668-4528
NPI assigned
Apr 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Juliana Adegbite
Title
Director
Phone
(240) 422-3946

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X
Respite Care 385H00000X

Addresses

Primary practice location

4565 Daisy Reid Ave Ste 128J
Lake Ridge, VA 22192-5671

Mailing address

4565 Daisy Reid Ave Ste 128J
Lake Ridge, VA 22192-5671
Phone (540) 530-4838

National Provider Directory

National Provider Directory

Locations

4565 Daisy Reid Ave
Ste 128J
Woodbridge, VA 22192
Phone (540) 530-4838

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1174310379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 DAISY REID AVE STE 128J",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221925671",
            "telephone_number": "540-530-4838",
            "fax_number": "571-668-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 DAISY REID AVE STE 128J",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221925671",
            "telephone_number": "540-530-4838",
            "fax_number": "571-668-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE COMFORT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "ADEGBITE",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-422-3946"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Ridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.