Ultimate Living Services, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

044017282 Issued in GA

Legal business name

ULTIMATE LIVING SERVICES, INC

Practice address

1516 Crooked Tree Cir
Stone Mountain, GA 30088-3723

Phone

(404) 401-1094

NPI assigned

Jul 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gerald Tillman, ED.D

Title

Owner/Driector

Phone

(404) 401-1094

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Ultimate Living Service Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ultimate Living Service, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Stone Mountain, GA
  • NPI 1851626733
  NPD tax ID

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1306077953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 CROOKED TREE CIR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883723",
            "telephone_number": "404-401-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 CROOKED TREE CIR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883723",
            "telephone_number": "404-401-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE LIVING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER/DRIECTOR",
        "authorized_official_telephone_number": "404-401-1094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "044017282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "911608135A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tia Giovanna Tyler, FNP
• Merit Udeh, BCBA
• Raina Udom, P.A.-C
• Kingsley Ukaogo
• Ultimate Living Service, Inc
• United Home Care LLC
• Universal Homecare
• Uplift Counseling Center
• Uplifting the Community, Inc
• Najrul Usta

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.