Ultimate Senior Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ULTIMATE SENIOR CARE

Doing business as

ultimate senior care

Practice address

12801 Darby Brook CT Ste 201
Woodbridge, VA 22192-2497

Phone

(571) 575-3555

NPI assigned

Sep 16, 2019

Organization subpart

No

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

Authorized official

Name

Abdul Karim Mansaray

Title

Manager/Admission Coordinator

Phone

(571) 575-3555

Specialties & licenses 1

Addresses

Other names 1

• ultimate senior care Doing business as

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1669022158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 DARBY BROOK CT STE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922497",
            "telephone_number": "571-575-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 DARBY BROOK CT STE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922497",
            "telephone_number": "571-575-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "MANSARAY",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "KARIM",
        "authorized_official_title_or_position": "MANAGER/ADMISSION COORDINATOR",
        "authorized_official_telephone_number": "571-575-3555"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ultimate senior care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.