Ultimate Care Group, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

CLASS A 343995 Issued in MN

Legal business name

ULTIMATE CARE GROUP, INC

Practice address

7040 Lakeland Ave N
Suite 208
Brooklyn Park, MN 55428-5600

Phone

(763) 560-9890

Fax

(763) 560-9891

NPI assigned

Aug 4, 2009

Last updated

Oct 21, 2010By 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

Mr. Alfred Apata

Title

Director

Phone

(763) 560-9890

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• IMANI ROCK HEALTH SERVICES INC Former legal business name

Locations

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1376774687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 LAKELAND AVE N",
            "address_2": "SUITE 208",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554285600",
            "telephone_number": "763-560-9890",
            "fax_number": "763-560-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 LAKELAND AVE N",
            "address_2": "SUITE 208",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554285600",
            "telephone_number": "763-560-9890",
            "fax_number": "763-560-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE CARE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "APATA",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "763-560-9890",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "CLASS A 343995",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MN",
            "license": "CLASS F348031",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M007903000",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A866615100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A418610000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMANI ROCK HEALTH SERVICES INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.