Active NPI
Ultimate Comfort Care, LLC
- Home Health Agency
- Lake Ridge, VA
National Provider Identifier
1174310379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| Personal Care Attendant | 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 DirectoryLocations
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.