Ultra Care Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

343855 Issued in MN

Legal business name

ULTRA CARE HOME HEALTH LLC

Practice address

1867 Dellwood Ave
Roseville, MN 55113-6103

Phone

(651) 493-8620

Fax

(651) 493-8620

NPI assigned

Jun 2, 2009

Last updated

Jun 2, 2009By 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

Ms. Dorothy Okech

Title

Director/Owner

Phone

(651) 493-8620

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1629204854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 DELLWOOD AVE",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551136103",
            "telephone_number": "651-493-8620",
            "fax_number": "651-493-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 DELLWOOD AVE",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551136103",
            "telephone_number": "651-493-8620",
            "fax_number": "651-493-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA CARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "OKECH",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "651-493-8620",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "343855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.