Ultimate Integrated Support Services Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ULTIMATE INTEGRATED SUPPORT SERVICES INC

Practice address

4803 Circling Hunter Dr Apt 204
Columbia, MD 21045-2296

Phone

(856) 879-4171

NPI assigned

Apr 27, 2021

Last updated

Apr 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Francisca Addy

Title

Ceo

Phone

(856) 879-4171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1255913398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 CIRCLING HUNTER DR APT 204",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452296",
            "telephone_number": "856-879-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 CIRCLING HUNTER DR APT 204",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452296",
            "telephone_number": "856-879-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE INTEGRATED SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "ADDY",
        "authorized_official_first_name": "FRANCISCA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-879-4171"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Columbia, MD
• Providers in Columbia, MD by specialty
• Developmentally Disabled Services Day Training Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.