Organization Active NPI

Ultra Care Medical Group Inc

  • Community/Behavioral Health Agency
  • Lehigh Acres, FL
National Provider Identifier
1629638028
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ULTRA CARE MEDICAL GROUP INC
Practice address
27 Homestead Rd N Ste 55
Lehigh Acres, FL 33936-6673
Phone
(239) 369-2055
Fax
(239) 303-2463
NPI assigned
Jun 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Maria Reyes
Title
Owner/President
Phone
(832) 794-5758

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

27 Homestead Rd N Ste 55
Lehigh Acres, FL 33936-6673

Mailing address

27 Homestead Rd N Ste 55
Lehigh Acres, FL 33936-6673
Phone (239) 369-2055

Other identifiers 1

IdentifierTypeStateIssuer
103275400MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1629638028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 HOMESTEAD RD N STE 55",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366673",
            "telephone_number": "239-369-2055",
            "fax_number": "239-303-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 HOMESTEAD RD N STE 55",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366673",
            "telephone_number": "239-369-2055",
            "fax_number": "239-303-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA CARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "832-794-5758"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103275400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.