Ultimate Care Supported Living LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

ULTIMATE CARE SUPPORTED LIVING LLC

Practice address

5300 E Main St Ste 100
Columbus, OH 43213-2580

Phone

(614) 868-3821

Fax

(614) 868-3921

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Samuel BraimaNPI 1477097400

Title

President

Phone

(614) 868-3821

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Samuel Braima Jr.

  • Community Health Worker
  • Gahanna, OH
  • NPI 1477097400
  NPD Authorized official

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697241600000",
    "number": "1508467853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 BRICE RD STE 235",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683464",
            "telephone_number": "614-868-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 E MAIN ST STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132580",
            "telephone_number": "614-868-3821",
            "fax_number": "614-868-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE CARE SUPPORTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2023-10-14",
        "certification_date": "2023-10-14",
        "status": "A",
        "authorized_official_last_name": "BRAIMA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-868-3821",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Ann Ulloa, NP
• Massiel Elena Ulloa, DO
• Taylor Ullom, LPCC
• Travis Ulmer, M.D.
• Lisa Marie Ulrich
• Ultimate Home Healthcare LLC
• Ultimate Medical Supplies, Inc
• Ultimate Senior Care LLC
• Ultimate Senior Care, LLC
• Ultimate Too, Inc.

• Assisted Living Facility (Mental Illness) in Columbus, OH
• Providers in Columbus, OH by specialty
• Assisted Living Facility (Mental Illness) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2023; 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.