Active NPI
Ultracare Home Care LLC
- Home Health Agency
- Stafford, VA
National Provider Identifier
1225875255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ULTRACARE HOME CARE LLC
- Practice address
- 104 Coral Reef CT
Stafford, VA 22554-4506 - Phone
- (571) 382-8410
- Fax
- (571) 382-8000
- NPI assigned
- Jul 9, 2024
- 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
- Anita Obenewa Amoani
- Title
- Administrator
- Phone
- (571) 382-8410
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Personal Care Attendant | 3747P1801X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
104 Coral Reef CT
Stafford, VA 22554-4506
Mailing address
104 Coral Reef CT
Stafford, VA 22554-4506
Phone (571) 382-8410
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Agency
- Stafford, VA
- NPI 1730925272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736380800000",
"number": "1225875255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 CORAL REEF CT",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225544506",
"telephone_number": "571-382-8410",
"fax_number": "571-382-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 CORAL REEF CT",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225544506",
"telephone_number": "571-382-8410",
"fax_number": "571-382-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ULTRACARE HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-09",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A",
"authorized_official_last_name": "AMOANI",
"authorized_official_first_name": "ANITA",
"authorized_official_middle_name": "OBENEWA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "571-382-8410"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"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 Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.