NPIMap

Organization Active NPI

Ultimate Care Medical Services LLC

  • Adult Mental Health Clinic/Center
  • Ashland, KY
National Provider Identifier
1225398159
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
1179 Issued in KY
Legal business name
ULTIMATE CARE MEDICAL SERVICES LLC
Practice address
3655 Winchester Ave
Ashland, KY 41101-2065
Phone
(606) 393-4632
Fax
(888) 411-4131
NPI assigned
May 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Mr. Livinus C. Uba, ICADC, LCDCIII, CADC
Title
Counseling Supervisor
Phone
(606) 393-4632

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 1179 KY Primary
Methadone Clinic 261QM2800X 121019 OH
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 710053

Addresses

Primary practice location

3655 Winchester Ave
Ashland, KY 41101-2065

Mailing address

3655 Winchester Ave
Ashland, KY 41101-2065
Phone (606) 393-4632

National Provider Directory

National Provider Directory

Locations

3655 Winchester Ave
Ashland, KY 41101
Phone (606) 393-4062

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1225398159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 WINCHESTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012065",
            "telephone_number": "606-393-4632",
            "fax_number": "888-411-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 WINCHESTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012065",
            "telephone_number": "606-393-4632",
            "fax_number": "888-411-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE CARE MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "UBA",
        "authorized_official_first_name": "LIVINUS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "COUNSELING SUPERVISOR",
        "authorized_official_telephone_number": "606-393-4632",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ICADC, LCDCIII, CADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "KY",
            "license": "1179",
            "primary": true
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "OH",
            "license": "121019",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": "710053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.