Organization Active NPI

Ultra Care of Etowah County

  • Home Health Agency
  • Gadsden, AL
National Provider Identifier
1346591187
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ULTRA CARE OF ETOWAH COUNTY
Doing business as
Ultra Care, Inc.
Practice address
100 Medical Center Dr., Suite 306
Gadsden, AL 35903-1134
Phone
(256) 459-4971
Fax
(256) 952-2153
NPI assigned
Sep 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Glenn Page III
Title
C.O.O.
Phone
(706) 324-7763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

100 Medical Center Dr., Suite 306
Gadsden, AL 35903-1134

Mailing address

5820 Veterans Pkwy Ste 109
Columbus, GA 31904-3453
Phone (706) 324-7763

Other names 1

  • Ultra Care, Inc. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1346591187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 VETERANS PKWY STE 109",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043453",
            "telephone_number": "706-324-7763",
            "fax_number": "706-324-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR., SUITE 306",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031134",
            "telephone_number": "256-459-4971",
            "fax_number": "256-952-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA CARE OF ETOWAH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "706-324-7763",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultra Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.