Organization Active NPI

Ultra Home Health Care Inc.

  • Nursing Care Agency
  • Douglasville, GA
National Provider Identifier
1386470607
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
ULTRA HOME HEALTH CARE INC.
Practice address
7493 Stonehenge Way
Douglasville, GA 30134-3654
Phone
(678) 468-7016
NPI assigned
Sep 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Haddy Jallow
Title
Owner
Phone
(678) 468-7016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

7493 Stonehenge Way
Douglasville, GA 30134-3654

Mailing address

7493 Stonehenge Way
Douglasville, GA 30134-3654
Phone (678) 468-7016

Other names 1

  • Ultra Health Care Staffing. 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": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1386470607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7493 STONEHENGE WAY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301343654",
            "telephone_number": "678-468-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7493 STONEHENGE WAY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301343654",
            "telephone_number": "678-468-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "JALLOW",
        "authorized_official_first_name": "HADDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-468-7016"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultra Health Care Staffing.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.