Ultra Care, Inc

Key facts

NPI

1790725463

Entity type

Organization (NPI type 2)

Primary specialty

Home Health Agency 251E00000X

License

975 (LA)

Legal business name

ULTRA CARE, INC

Practice address

5207 Essen Lane
Suite 4
Baton Rouge, LA 70809

Phone

(225) 761-1592

Fax

(225) 767-8439

NPI assigned

Jun 8, 2006

Organization subpart

No

Authorized official

Name

Mr. Nick King

Title

Owner

Phone

(985) 809-1113

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Ultra Home Health Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790725463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19295 THIRD ST",
            "address_2": "SUITE 7",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70435",
            "telephone_number": "985-809-1113",
            "fax_number": "985-809-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5207 ESSEN LANE",
            "address_2": "SUITE 4",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-761-1592",
            "fax_number": "225-767-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-809-1113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1402001",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultra Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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