Ulticare Health and Home Care Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ULTICARE HEALTH AND HOME CARE AGENCY

Practice address

4459 Bellemeade Dr
Douglasville, GA 30135-4926

Phone

(404) 422-4149

Fax

(770) 637-2484

NPI assigned

Jun 18, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Roseline D Balfour, RN, CCTN, CPN

Title

RN/Owner

Phone

(404) 422-4149

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1720648132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4459 BELLEMEADE DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301354926",
            "telephone_number": "404-422-4149",
            "fax_number": "770-637-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4459 BELLEMEADE DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301354926",
            "telephone_number": "404-422-4149",
            "fax_number": "770-637-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTICARE HEALTH AND HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "BALFOUR",
        "authorized_official_first_name": "ROSELINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "RN/OWNER",
        "authorized_official_telephone_number": "404-422-4149",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, CCTN, CPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ulticarehomehealth@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4459 Bellemeade Dr",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301354926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Universal Health Care and Professional Services LLC
• Universal Home Care and Services Inc

• Home Health Agency in Douglasville, GA
• Providers in Douglasville, 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 Jun 18, 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.