Ultimate Care Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

9205733 Issued in FL

Legal business name

ULTIMATE CARE MEDICAL CENTER

Practice address

3898 Via Poinciana
Suite #18
Lake Worth, FL 33467-2951

Phone

(561) 969-2112

Fax

(561) 641-3113

NPI assigned

Aug 24, 2011

Organization subpart

No

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

Authorized official

Name

Bernadine C Henry, ARNP

Title

Arnp Owner

Phone

(561) 969-2112

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bernadine Carline Anderson- Clarke, ARNP

  • Psychiatric/Mental Health Registered Nurse
  • Wellington, FL
  • NPI 1356418875
  NPD

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1497035364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3898 VIA POINCIANA",
            "address_2": "SUITE #18",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672951",
            "telephone_number": "561-969-2112",
            "fax_number": "561-641-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3898 VIA POINCIANA",
            "address_2": "SUITE #18",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672951",
            "telephone_number": "561-969-2112",
            "fax_number": "561-641-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE CARE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "BERNADINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ARNP   OWNER",
        "authorized_official_telephone_number": "561-969-2112",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "9205733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356418875",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Lee Tummillo
• Joseph Vincent Tuttolomondo, D.C.
• Jodie Tuz
• Sheri L Tyng, PTA
• Rafael Ubeda, MD
• Emanise Ulysse, LPN
• Umoren Medical LLC
• Unica Care LLC
• United Cerebral Palsy of Broward County
• United Research Clinic Inc

• Clinic/Center in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.