Ultimate Angels Home Healthcare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299992917 Issued in FL

Legal business name

ULTIMATE ANGELS HOME HEALTHCARE INC

Practice address

1873 W Woolbright Rd
Boynton Beach, FL 33426-6321

Phone

(561) 461-7211

Fax

(561) 461-7212

NPI assigned

Oct 23, 2007

Last updated

Nov 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nadege Saint Juste

Title

Admistrator

Phone

(561) 461-7211

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558550871. Details of each certification follow.

• CCN 109413 Home health agency · Active · Details

Home health agency certification: CCN 109413

Legal name

ULTIMATE ANGELS HOME HEALTHCARE INC

Doing business as

NOBLE HOME HEALTH SERVCES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 9, 2009

Last certification

May 29, 2015

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 26, 2007 in FL

Enrollment address

1873 W Woolbright Rd
Boynton Beach, FL 33426-6321

Listed as

Noble Home Health ServicesCCN 109413 · All quality measures

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Jul 9, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jean-Marc Geneve, P.A.

  • Family Nurse Practitioner
  • Loxahatchee, FL
  • NPI 1124368279

  Home health agency

  Care Compare affiliation
• Chacko Nebu, M.D.

  • Internal Medicine Physician
  • Port St Lucie, FL
  • NPI 1538439559

  Home health agency

  Care Compare affiliation
• Yanitza Rodriguez, M.D

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1356515019

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1558550871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1873 W WOOLBRIGHT RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266321",
            "telephone_number": "561-461-7211",
            "fax_number": "561-461-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 W WOOLBRIGHT RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266321",
            "telephone_number": "561-461-7211",
            "fax_number": "561-461-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE ANGELS HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "SAINT JUSTE",
        "authorized_official_first_name": "NADEGE",
        "authorized_official_title_or_position": "ADMISTRATOR",
        "authorized_official_telephone_number": "561-461-7211"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timara Tyler, LCDC, LMHC
• Trevor James Tyner, D.O.
• Tyval Assisted Living Facility, LLC
• Raisa Mostafa Uddin, MD
• William Ulrich, PA-C
• Ultimate DME Products LLC
• Nelthie Ulysse, DDS
• Anne-Marie Ushunu Umoren
• Inemesit Essien Umoren, M.D.
• Unique Adult Family Care Home Inc.

• Home Health Agency in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.