Ultra Care Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ULTRA CARE HOSPICE, LLC

Practice address

5820 Veterans Pkwy Ste 109
Columbus, GA 31904-3453

Phone

(706) 324-7763

NPI assigned

Dec 13, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Glenn Alan Page III

Title

Ceo

Phone

(334) 703-2784

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Prohealth Hospice-Georgia, LLC

  • Community Based Hospice Care Agency
  • Birmingham, AL
  • NPI 1750084695

  Sold to, 2023-12-01

  CMS change of ownership

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1396250312",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 VETERANS PKWY STE 109",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043453",
            "telephone_number": "706-324-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA CARE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-703-2784",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kia Tyson, BCBA
• Porsha Tyson, RN
• Amaka Cynthia Ugoh, MD
• Ana Ulloa, RD, LD
• Susanna Swisher Ulmer
• Ultra Care of Georgia, Inc
• Unbroken Clinic LLC
• Underpressuremd LLC
• Jennifer Stacey Underwood, DDS
• Frances Nmachi Uneanya, NURSE PRACTITIONER-F

• Community Based Hospice Care Agency in Columbus, GA
• Providers in Columbus, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.