Ultra Care of Georgia, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

106-273-H Issued in GA

Legal business name

ULTRA CARE OF GEORGIA, INC

Doing business as

Ultra Home Health

Practice address

5820 Veterans Pkwy Ste 109
Columbus, GA 31904-3453

Phone

(706) 324-7763

Fax

(706) 324-7792

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Nickey L. King

Title

Owner

Phone

(706) 324-7763

Specialties & licenses 1

Addresses

Other names 1

• Ultra Home Health Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

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

• Prohealth Home Health-Georgia, LLC

  • Home Health Agency
  • Cartersville, GA
  • NPI 1467154740

  Sold to, 2023-12-05

  CMS change of ownership

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1518907286",
    "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",
            "telephone_number": "706-324-7763",
            "fax_number": "706-324-7792"
        },
        {
            "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",
            "fax_number": "706-324-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA CARE OF GEORGIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "NICKEY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-324-7763",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "106-273-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultra Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• Home Health Agency in Columbus, GA
• Providers in Columbus, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.