Ultimate Health Services

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

060-R-0027 Issued in GA

Legal business name

ULTIMATE HEALTH SERVICES

Practice address

4854 Old National Hwy
Suite 236
College Park, GA 30337-6221

Phone

(404) 761-6009

Fax

(404) 761-6553

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kayode Fasae, PH.D.

Title

Administrator.

Phone

(404) 761-6009

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407926207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4854 OLD NATIONAL HWY",
            "address_2": "SUITE 236",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303376221",
            "telephone_number": "404-761-6009",
            "fax_number": "404-761-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4854 OLD NATIONAL HWY",
            "address_2": "SUITE 236",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303376221",
            "telephone_number": "404-761-6009",
            "fax_number": "404-761-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FASAE",
        "authorized_official_first_name": "KAYODE",
        "authorized_official_title_or_position": "ADMINISTRATOR.",
        "authorized_official_telephone_number": "404-761-6009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "060-R-0027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in College Park, GA
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• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.